Individual
CAROLYN LOUISE GAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
525 S 57TH PL, SPRINGFIELD, OR 97478-5410
(541) 744-0394
Mailing address
525 S 57TH PL, SPRINGFIELD, OR 97478-5410
(541) 744-0394
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
10/11/2006
Last updated
04/07/2008
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