Individual
MR. JOHN C. GAITHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW-C
Contact information
Practice address
200 E NORTH AVE, BALTIMORE, MD 21202-4888
(443) 642-4205
Mailing address
2707 CHESWOLDE RD, BALTIMORE, MD 21209-3928
(443) 560-3054
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13081
MD
Other
Enumeration date
02/19/2019
Last updated
02/19/2019
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