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Individual

DANIEL GAYOU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4510 FRANKFORD AVE, PHILADELPHIA, PA 19124-3602
(215) 831-9882
Mailing address
1401 S 31ST ST, 2ND FLOOR, PHILADELPHIA, PA 19146-3506
(215) 925-2400

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
BH1934
PA
104100000X
Social Worker
171M00000X
Case Manager/Care Coordinator
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100758431 0001
PA
Enumeration date
07/25/2008
Last updated
09/23/2016
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