BETHANY GAVIC

NEW BRIGHTON, MN
NPI1003153792
Former NameBETHANY ERICKSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MN  20349)
Enumeration Date2013-01-15
Last Update Date2013-01-15
Business Address
-- BETHANY GAVIC MSW, LICSW
1900 SILVER LAKE RD NW SUITE 110
NEW BRIGHTON, MN 55112-1786
Phone number: 651-628-9566
Mailing Address
-- BETHANY GAVIC MSW, LICSW
1900 SILVER LAKE RD NW SUITE 110
NEW BRIGHTON, MN 55112-1786
Phone number: 651-628-9566