BRIAN PATRICK GAVIN

DEKALB, IL
NPI1235315748
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: IL  146.007326)
Enumeration Date2008-01-15
Last Update Date2008-01-15
Business Address
Mr. BRIAN PATRICK GAVIN CCC-SLP
573 BUSH ST
DEKALB, IL 60115-4018
Phone number: 630-291-6106
Mailing Address
Mr. BRIAN PATRICK GAVIN CCC-SLP
573 BUSH ST
DEKALB, IL 60115-4018
Phone number: 630-291-6106