Individual
MR. BOLIVAR AGUIRRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
3007 DAWN DR STE 102, GEORGETOWN, TX 78628-2864
(512) 876-3158
Mailing address
210 TALLWOOD DR, GEORGETOWN, TX 78628-8318
(512) 876-3158
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
64039
TX
Other
Enumeration date
10/15/2019
Last updated
07/23/2022
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