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1003153792
BETHANY GAVIC
NEW BRIGHTON, MN
NPI
1003153792
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Former Name
BETHANY ERICKSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MN 20349)
Enumeration Date
2013-01-15
Last Update Date
2013-01-15
Business Address
-- BETHANY GAVIC MSW, LICSW
1900 SILVER LAKE RD NW SUITE 110
NEW BRIGHTON, MN 55112-1786
Phone number: 651-628-9566
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Mailing Address
-- BETHANY GAVIC MSW, LICSW
1900 SILVER LAKE RD NW SUITE 110
NEW BRIGHTON, MN 55112-1786
Phone number: 651-628-9566
Copy
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