Individual
GAVYN TAYLOR PELLICORI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
705 IRONTON ST, AURORA, CO 80010-4018
(262) 909-2021
Mailing address
705 IRONTON ST, AURORA, CO 80010-4018
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
CSW.09930620
CO
Other
Enumeration date
11/02/2021
Last updated
07/15/2025
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