Individual
KATHRYN COLLEEN GALLUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
10 N. MAIN ST, CORTLAND, NY 13045
(607) 753-0234
(607) 753-0286
Mailing address
10 N. MAIN ST, CORTLAND, NY 13045
(607) 753-0234
(607) 753-0286
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
079520
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1336163963
—
NY
Enumeration date
09/11/2007
Last updated
06/19/2012
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