Individual
MRS. FAY JEAN GAWRYN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3200 MOTOR AVE, LOS ANGELES, CA 90034-3710
(310) 204-1666
(310) 838-2791
Mailing address
5106 EDSEL AVE, LOS ANGELES, CA 90066-6924
(310) 822-6996
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Enumeration date
08/02/2010
Last updated
08/02/2010
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