Gavin T. Mctavish - Social Worker in Baltimore, Maryland | ProviderWire

Full Name

Gavin Timothy Mctavish

NPI Number

1053021923

NPI Type

Individual Provider

Gender

Male

Enumeration Date

12/01/2022

Specialties

(Taxonomies)

Name

Code

104100000X

Primary Taxonomy

Yes

Licenses

State

Maryland

License Number

28722

Contact
Information

Purpose

Mailing

Location

Address

714 E 37TH ST

1900 N HOWARD ST STE 300

City

Baltimore

Baltimore

State

MD

MD

Postal Code

21218-2533

21218-5909

Country

US

US

Telephone Number

(240) 578-3446

(443) 438-6742

Identifiers

Identifier

28722

Identifier State

MD

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 12/01/2022

Provider Address

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