Individual
MR. MICHAEL GAYMAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ICADC
Contact information
Practice address
1411 BRADY ST, DAVENPORT, IA 52803-4603
(563) 505-5621
Mailing address
1411 BRADY ST, DAVENPORT, IA 52803-4603
(563) 505-5621
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
25R501
IA
Other
Enumeration date
03/18/2025
Last updated
03/18/2025
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