Doctor Name: | JANICE KILGALLEN |
NPI Number: | 1922446160 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW, MSW, MA |
License Number: | 932909 |
Business Practice Address: | 140 S. Broadway Suite 7 Pitman, NJ - 08071 |
Business Phone Number: | 8443657676 |
Business Fax Number: | |
Mailing Address: | P.o. Box 324, COLLINGSWOOD |
State: | NJ |
Postal Code: | 08108 |
Phone Number: | 8564850626 |
Fax Number: | |
NPI Enumeration Date: | 06/10/2013 |
NPI Last Update Date: | 10/02/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041S0200X |
License Number: | 932909 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | School |
Taxonomy Definition: |