Individual
JAMYN GAVELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
151 W 7TH AVE STE 190, EUGENE, OR 97401-2676
(541) 682-4036
Mailing address
PO BOX 1143, EUGENE, OR 97440-1143
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
PCSW-795
WY
Other
Enumeration date
08/09/2019
Last updated
08/09/2019
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