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Individual
CYNTHIA LEAGUE
Active
Individual
CYNTHIA LEAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0180461
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11508507
—
NM
Enumeration date
02/18/2016
Last updated
08/27/2018
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