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Individual

MARYJO GAVIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
3125 TRANSVERSE DR, TOLEDO, OH 43614
(419) 383-5695
(419) 383-3031
Mailing address
3355 GLENDALE AVE FL 3, TOLEDO, OH 43614-2426
(419) 383-5695
(419) 383-3031

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
P.4227
OH
103TC1900X
Counseling Psychologist
6301011920
MI

Other

Enumeration date
03/29/2007
Last updated
03/08/2019
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