Individual
ANGEL GAVILANES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
275 NORTH ST, HARRISON, NY 10528-1140
(914) 925-5440
Mailing address
275 NORTH ST, HARRISON, NY 10528-1140
(914) 925-5440
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
096837
NY
Other
Enumeration date
12/24/2020
Last updated
08/09/2024
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