GAVIN H LONG

MILWAUKEE, WI
NPI1144739418
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
Enumeration Date2017-09-29
Last Update Date2018-03-17
Business Address
Mr. GAVIN H LONG SLP
8534 W MILL RD
MILWAUKEE, WI 53225-1934
Phone number: 414-358-2090
Mailing Address
Mr. GAVIN H LONG SLP
6735 W BRADLEY RD
MILWAUKEE, WI 53223
Phone number: