GAVIN MALCOLM

LOXAHATCHEE, FL
NPI1811669062
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: FL  SW7693)
Enumeration Date2021-10-05
Last Update Date2021-10-05
Business Address
GAVIN MALCOLM LCSW
12989 SOUTHERN BLVD STE 102
LOXAHATCHEE, FL 33470-9205
Phone number: 561-513-6716
Mailing Address
GAVIN MALCOLM LCSW
4310 METRO PKWY STE 205
FORT MYERS, FL 33916-9416
Phone number: 239-223-2751