Individual
AUDREY GAVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
34 RUSSELL ST, MILTON, MA 02186-3535
(617) 331-0051
Mailing address
34 RUSSELL ST, MILTON, MA 02186-3535
(617) 331-0051
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
219589
MA
Other
Enumeration date
07/12/2011
Last updated
04/21/2026
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