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Individual

KELLY LAURIAN GAVIN-GARCIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
962 CORYDON ST, EUGENE, OR 97401-5116
(619) 301-0350
Mailing address
962 CORYDON ST, EUGENE, OR 97401-5116
(619) 301-0350

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LMFT 53865
CA

Other

Enumeration date
05/21/2009
Last updated
01/17/2022
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