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1952814915
JENNIFER LACY GALLAGHER
ALAMEDA, CA
NPI
1952814915
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2017-11-13
Last Update Date
2021-07-13
Business Address
Mrs. JENNIFER LACY GALLAGHER
1025 ATLANTIC AVE STE 101
ALAMEDA, CA 94501-1188
Phone number: 510-268-8120
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Mailing Address
Mrs. JENNIFER LACY GALLAGHER
1027 E BURNSIDE ST
PORTLAND, OR 97214-1328
Phone number: 503-239-8400
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