MS. Mary Suzanne Gaynor, LCSW

NPI #1770156960 in Endwell, New York

Provider Information

NPI Number: 1770156960
Entity Type: Individual
Name: MS. Mary Suzanne Gaynor, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Jul 23, 2021
Last Updated: Jul 23, 2021

Practice Location

Address: 2720 HALL ST
City: Endwell
State: New York
ZIP Code: 13760-3228
Phone: (607) 444-2904

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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