Individual
LIISA M GAVLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3322 BROADWAY, EVERETT, WA 98201-4425
(425) 349-6800
Mailing address
PO BOX 3810, EVERETT, WA 98213-8810
(831) 224-2804
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
07/30/2012
Last updated
07/30/2012
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