Individual
CHRISTOPHER SCOTT GOLLUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2115A EAST 9TH ST, AUSTIN, TX 78702
(908) 415-3870
Mailing address
2115A E 9TH ST, AUSTIN, TX 78702-3439
(908) 415-3870
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
63212
TX
Other
Enumeration date
03/04/2024
Last updated
04/09/2024
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