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1730435512
LIISA M GAVLICK
EVERETT, WA
NPI
1730435512
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2012-07-30
Last Update Date
2012-07-30
Business Address
-- LIISA M GAVLICK
3322 BROADWAY
EVERETT, WA 98201-4425
Phone number: 425-349-6800
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Mailing Address
-- LIISA M GAVLICK
PO BOX 3810
EVERETT, WA 98213-8810
Phone number: 831-224-2804
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