Individual
MARY ELLEN GAVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
140 STILLSON RD, FAIRFIELD, CT 06825-3212
(203) 258-3324
Mailing address
140 STILLSON RD, FAIRFIELD, CT 06825-3212
(203) 258-3324
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
R52304
CT
Other
Enumeration date
05/11/2026
Last updated
05/11/2026
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