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1811669062
GAVIN MALCOLM
COCONUT CREEK, FL
NPI
1811669062
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL SW7693)
Enumeration Date
2021-10-05
Last Update Date
2026-01-30
Business Address
GAVIN MALCOLM LCSW
3238 NW 47TH AVE
COCONUT CREEK, FL 33063-1800
Phone number: 954-205-6773
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Mailing Address
GAVIN MALCOLM LCSW
3238 NW 47TH AVE
COCONUT CREEK, FL 33063-1800
Phone number: 954-205-6773
Copy
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