Individual
MRS. BONNIE ELLEN GAYNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, ACSW
Contact information
Practice address
5041 NEW CENTRE DR, SUITE 209, WILMINGTON, NC 28403-1680
(910) 392-8990
Mailing address
5041 NEW CENTRE DR, SUITE 209, WILMINGTON, NC 28403-1680
(910) 392-8990
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/10/2009
Last updated
06/10/2009
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