Bethany Gavic, MSW, LICSW Valid NPI
Individual provider · Clinical Social Worker · New Brighton, MN
- NPI
- 1003153792
- Type
- Individual (Type 1)
- Primary specialty
- Clinical Social Worker (Social Worker)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 1041C0700X
- License number
- 20349 (MN)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2013-01-15
- Last updated
- 2013-01-15
Practice location
1900 Silver Lake Rd Nw, Suite 110
New Brighton, MN 55112-1786
(651) 628-9566