Bethany Gavic, MSW, LICSW

NPI #1003153792 in New Brighton, Minnesota

Provider Information

NPI Number
1003153792
Entity Type
Individual
Name
Bethany Gavic, MSW, LICSW
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker - Clinical
Credential
MSW, LICSW
Enumeration Date
Jan 15, 2013
Last Updated
Jan 15, 2013

Practice Location

Address
1900 SILVER LAKE RD NW
Address 2
SUITE 110
ZIP Code
55112-1786
Phone
(651) 628-9566

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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