Individual
MEGHAN MARIE GAVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
505 KANSAS CITY ST STE 3, RAPID CITY, SD 57701-3673
(952) 449-1047
Mailing address
2475 W CHICAGO ST, RAPID CITY, SD 57702-2467
(605) 206-5004
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
893-PROV
SD
Other
Enumeration date
06/16/2020
Last updated
05/25/2021
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