Individual
ALLIE GAVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
16535 W BLUEMOUND RD STE 200, BROOKFIELD, WI 53005-5906
(262) 999-3495
Mailing address
4800 N SCOTTSDALE RD STE 2500, SCOTTSDALE, AZ 85251-7630
(262) 999-3495
(262) 335-6827
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
9488-123
WI
1041C0700X
Clinical Social Worker
Primary
9488-123
WI
Other
Enumeration date
02/02/2021
Last updated
07/07/2025
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