Amanda Banks Galer Lcsw | |
63484 Lightning Rd Coos Bay OR 97420-3896 | |
(858) 878-2176 | |
Not Available |
Full Name | Amanda Banks Galer Lcsw |
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Speciality | Social Worker |
Location | 63484 Lightning Rd, Coos Bay, Oregon |
Authorized Official Name and Position | Amanda Banks Galer (PROVIDER) |
Authorized Official Contact | 8598782176 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Amanda Banks Galer Lcsw 63484 Lightning Rd Coos Bay OR 97420-3896 Ph: (858) 878-2176 | Amanda Banks Galer Lcsw 63484 Lightning Rd Coos Bay OR 97420-3896 Ph: (858) 878-2176 |
NPI Number | 1023481447 |
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Provider Enumeration Date | 11/06/2015 |
Last Update Date | 04/22/2024 |
Certification Date | 04/22/2024 |
Medicare PECOS PAC ID | 1153621842 |
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Medicare Enrollment ID | O20151202001645 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023481447 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 3773 (Kentucky) | Primary |
Provider Name | Amanda B Galer |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1609150325 PECOS PAC ID: 3476772500 Enrollment ID: I20140922002238 |
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