Jessie Jr. N/a Galloway, N/A

NPI #1003087305 in Gardena, California

Provider Information

NPI Number: 1003087305
Entity Type: Individual
Name: Jessie Jr. N/a Galloway, N/A
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: N/A
Enumeration Date: Mar 14, 2008
Last Updated: Mar 14, 2008

Practice Location

Address: 130 W VICTORIA ST
City: Gardena
State: California
ZIP Code: 90248-3523
Phone: (310) 715-2020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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