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Individual

MR. DANIEL LAWRENCE GOLLUB

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCP

Contact information

Practice address
2001 CLAFLIN RD, MANHATTAN, KS 66502-3415
(785) 587-4300
Mailing address
208 E 7TH ST, HAYS, KS 67601-4139
(785) 628-2871

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LCP113
KS

Other

Enumeration date
04/15/2010
Last updated
04/08/2019
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