Individual
MR. CLIFFORD ALLEN GAVIN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
445 WINN WAY, DECATUR, GA 30030-1707
(140) 450-8770
Mailing address
270 CARPENTER DR STE 400, SANDY SPRINGS, GA 30328-4933
(678) 460-0345
(678) 460-0350
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW006943
GA
Other
Enumeration date
04/26/2016
Last updated
08/07/2020
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