Individual
MIRANDA GAVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSWA
Contact information
Practice address
10901 WORLD TRADE BLVD, RALEIGH, NC 27617-4203
(413) 315-4100
Mailing address
53 CATESBY TRL APT 301, GARNER, NC 27529-4493
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
P022687
NC
Other
Enumeration date
03/24/2026
Last updated
03/24/2026
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