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1912737842
AUDRA JEAN GALLOGLY
LAFAYETTE, CO
NPI
1912737842
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CO 00992163)
Enumeration Date
2024-08-05
Last Update Date
2024-08-05
Business Address
AUDRA JEAN GALLOGLY LCSW
1120 W SOUTH BOULDER RD STE 101B
LAFAYETTE, CO 80026-8952
Phone number: 303-389-2793
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Mailing Address
AUDRA JEAN GALLOGLY LCSW
1915 LARSON CT
ERIE, CO 80516-7578
Phone number: 303-669-4132
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