Doctor Name: | MARY BETH L GALLIMORE |
NPI Number: | 1083893465 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | SC00078 |
Business Practice Address: | 2517 Highway 35 Bldg. J, Suite 101 Manasquan, NJ - 087361918 |
Business Phone Number: | 7322231133 |
Business Fax Number: | |
Mailing Address: | 2517 Highway 35, Bldg. J, Suite 101 MANASQUAN |
State: | NJ |
Postal Code: | 087361918 |
Phone Number: | 7322231133 |
Fax Number: | |
NPI Enumeration Date: | 11/01/2007 |
NPI Last Update Date: | 11/01/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | SC00078 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |