Individual
DIANA GAVONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
4 RECOVERY RD, WAREHAM, MA 02571-5013
(508) 295-5232
Mailing address
4 RECOVERY RD, WAREHAM, MA 02571-5013
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2025325
MA
Other
Enumeration date
11/17/2010
Last updated
11/17/2010
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