Melissa Ann Gallup

NPI #1497265953 in Polacca, Arizona

Provider Information

NPI Number: 1497265953
Entity Type: Individual
Name: Melissa Ann Gallup
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Enumeration Date: Oct 10, 2017
Last Updated: Oct 21, 2019

Practice Location

Address: HWY 264 MPP 388
City: Polacca
State: Arizona
ZIP Code: 86042
Phone: (928) 737-6187

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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