Individual
KALEEN GAVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
105 MAIN STREET SOUTH, HAZLETON, IA 50641
(319) 327-0521
Mailing address
PO BOX 74, HAZLETON, IA 50641-0074
(319) 327-0521
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/13/2015
Last updated
02/13/2015
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