Individual
MS. ATHENA GAVARIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
320 MAIN STREET, 2ND FLOOR, JOHNSTOWN, PA 15901
(814) 534-1095
(914) 534-6145
Mailing address
1086 FRANKLIN STREET, JOHNSTOWN, PA 15905
(814) 534-1095
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW015439
PA
Other
Enumeration date
11/15/2006
Last updated
07/08/2007
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