Individual
MR. GARY BROTHERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
8700 MANCHACA RD, STE 306, AUSTIN, TX 78748-5374
(808) 628-8960
(512) 292-1144
Mailing address
8700 MANCHACA RD, STE 306, AUSTIN, TX 78748-5374
(808) 628-8960
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
50202
TX
Other
Enumeration date
03/16/2008
Last updated
09/10/2019
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