Most Relevant Information
Provider Data
| NPI Number: | 1003518085 |
| Provider Name: | GAVIN WARREN |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | 44SL06916600 |
Most Important Dates
| Enumeration Date: | 03/21/2023 |
| Last Updated: | 03/21/2023 |
Provider Practice Location
15 FARVIEW TER
PARAMUS
NJ
076522761
Practice Location Phone/Fax
| Phone: | 5515794441 |
| Fax: |
Provider Mailing Location
15 FARVIEW TER
PARAMUS
NJ
076522761
Provider Mailing Phone/Fax
| Phone: | 5515794441 |
| Fax: |