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1871227843
SHAUN DANIEL GAVIN
QUINCY, MA
NPI
1871227843
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MA 12400)
Enumeration Date
2022-07-14
Last Update Date
2022-07-14
Business Address
Mr. SHAUN DANIEL GAVIN LADC 1
300 CONGRESS ST STE 104
QUINCY, MA 02169-0907
Phone number: 617-774-0331
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Mailing Address
Mr. SHAUN DANIEL GAVIN LADC 1
23 PIERCE ST
HYDE PARK, MA 02136-2981
Phone number: 857-615-9232
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