Individual
MRS. ANGELA GAYNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
68 NAUTICAL WAY, PLYMOUTH, MA 02360-8611
(203) 561-2236
Mailing address
68 NAUTICAL WAY, PLYMOUTH, MA 02360-8611
(203) 561-2236
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
122444
MA
Other
Enumeration date
10/19/2020
Last updated
10/19/2020
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