Provider Demographics
NPI:1720397599
Name:GALLIERS, KAREN (LISW)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:GALLIERS
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7777 YANKEE ROAD
Mailing Address - Street 2:ML 16030
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45229-3039
Mailing Address - Country:US
Mailing Address - Phone:513-803-9307
Mailing Address - Fax:513-803-9569
Practice Address - Street 1:7777 YANKEE ROAD
Practice Address - Street 2:ML 16030
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45229-3039
Practice Address - Country:US
Practice Address - Phone:513-803-9307
Practice Address - Fax:513-803-9569
Is Sole Proprietor?:No
Enumeration Date:2010-09-28
Last Update Date:2010-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI0800156SUPV1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical