Individual
MRS. GAYLE RINI TELFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
3610 W MARKET ST, SUITE 102, FAIRLAWN, OH 44333-9301
(440) 567-1416
Mailing address
138 PINELAND DR, COPLEY, OH 44321-1320
(440) 567-1416
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
943907
OH
1041C0700X
Clinical Social Worker
Primary
0800079
OH
Other
Enumeration date
01/25/2012
Last updated
02/04/2013
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