Individual
JOHN P GAYNOR JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
4641 ROOSEVELT BLVD, ORLEANS BLDG, PHILADELPHIA, PA 19124-2343
(215) 831-2836
(215) 831-2929
Mailing address
4641 ROOSEVELT BLVD, ORLEANS BLDG, PHILADELPHIA, PA 19124-2343
(215) 742-7811
(215) 831-2929
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW009349L
PA
Other
Enumeration date
09/26/2011
Last updated
09/26/2011
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