Gavin, Maryjo

Gavin, Maryjo is an individual health care provider with primary practice located at 3125 Transverse Dr , Toledo OH 43614. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Gavin, Maryjo can be contacted via phone (419) 383-5695.

Contact Information

Primary practice address
3125 Transverse Dr Toledo OH 43614
Phone: (419) 383-5695
Fax: (419) 383-3031
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X 6301011920 Michigan
Behavioral Health & Social Service Providers / Clinical 103TC0700X P.4227 Ohio

Profile Details

NPI number 1871612770
LBN Legal business name Gavin, Maryjo
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2007
Last updated Mar 8th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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