MARK LESLIE GAYNOR

NEW HAVEN, CT
NPI1275515009
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CT  000930)
Enumeration Date2005-11-17
Last Update Date2018-06-27
Business Address
Mr. MARK LESLIE GAYNOR LCSW
100 WHITNEY AVE
NEW HAVEN, CT 06510
Phone number: 203-865-0865
Mailing Address
Mr. MARK LESLIE GAYNOR LCSW
100 WHITNEY AVE
NEW HAVEN, CT 06510-1283
Phone number: 203-865-0865