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Individual

LAUREN GAVIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, LICSW

Contact information

Practice address
652 BIELENBERG DR STE 104, WOODBURY, MN 55125-4416
(651) 706-1850
Mailing address
652 BIELENBERG DR STE 104, WOODBURY, MN 55125-4416
(651) 706-1850

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
26405
MN

Other

Enumeration date
10/11/2019
Last updated
10/11/2019
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