Individual
JOSEPH GAVIN BIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
330 N GORE AVE, WEBSTER GROVES, MO 63119-1600
(314) 968-2060
Mailing address
623 E BRENTMOOR DR, TROY, IL 62294-2031
(618) 971-7349
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
178.013843
IL
Other
Enumeration date
06/15/2018
Last updated
06/15/2018
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