Individual
MR. GAVIN JOHN MACAULAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CAPSW
Contact information
Practice address
1431 SPAIGHT ST, MADISON, WI 53703-3723
(608) 572-3454
Mailing address
1431 SPAIGHT ST, MADISON, WI 53703-3723
(608) 572-3454
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
129351-121
WI
Other
Enumeration date
06/17/2015
Last updated
06/17/2015
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