Individual
GAVIN WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15 FARVIEW TER, PARAMUS, NJ 07652-2761
(551) 579-4441
Mailing address
15 FARVIEW TER, PARAMUS, NJ 07652-2761
(551) 579-4441
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06916600
NJ
Other
Enumeration date
03/21/2023
Last updated
03/21/2023
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