Individual
MRS. JOCELYN GAVIN-LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
10585 THREE RIVERS RD, SUITE C, GULFPORT, MS 39503-3572
(228) 604-0099
(228) 604-2001
Mailing address
PO BOX 10743, GULFPORT, MS 39505-0743
(228) 604-0099
(228) 604-2001
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C6462
MS
Other
Enumeration date
06/06/2006
Last updated
09/25/2013
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