Iris June Miller Gallegos, LCSW

NPI #1710428727 in Eagle, Idaho

Provider Information

NPI Number
1710428727
Entity Type
Individual
Name
Iris June Miller Gallegos, LCSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Mar 10, 2017
Last Updated
Mar 10, 2017

Practice Location

Address
1281 E IRON EAGLE DR
City
Eagle
State
Idaho
ZIP Code
83616-6599
Phone
(208) 761-4748

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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