Individual
GAVIN COGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
22001 FAIRMOUNT BLVD, SHAKER HEIGHTS, OH 44118-4819
(216) 932-2800
Mailing address
22001 FAIRMOUNT BLVD, SHAKER HEIGHTS, OH 44118-4819
(216) 932-2800
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2208227
OH
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
05/10/2022
Last updated
10/03/2022
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