Individual
MR. BARRY CLIFFORD GAYNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW, MSW, M.DIV.
Contact information
Practice address
1415 FOULK RD STE 104, WILMINGTON, DE 19803-2748
(302) 478-1450
(302) 478-1430
Mailing address
1415 FOULK RD STE 104, WILMINGTON, DE 19803-2748
(302) 478-1450
(302) 478-1430
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
Q1-0001520
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316329261
—
DE
05
—
434778
—
DE
Enumeration date
10/21/2019
Last updated
10/21/2019
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