Individual
MR. DAVID KELLY GWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LMHC
Contact information
Practice address
205 E 95TH ST APT 19M, NEW YORK, NY 10128-4091
(212) 464-8300
Mailing address
205 E 95TH ST APT 19M, NEW YORK, NY 10128-4091
(212) 464-8300
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
003469
NY
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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