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SHANTI R GALLON CASE MGR / HSW
>> Case Manager/Care Coordinator >> Other Service ProvidersRegistrant NPI Number: 1669654232
Individual Registrant: SHANTI R GALLON CASE MGR / HSW
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
9860 MIDDLE CREEK RD UPPER LAKE, CA 95485-9265 US
Tel: 707-275-8166 Fax: --
Tel: 707-275-8166 Fax: --
Contact information for business:
PO BOX 6768 CLEARLAKE, CA 95422-6768 US
Tel: -- Fax: --
Tel: -- Fax: --
Registration Information:
NPI: 1669654232
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 171M00000X | Other Service Providers Case Manager/Care Coordinator |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
