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Organization
CROSSING WATERS, LLC
Active
Organization
CROSSING WATERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CYNTHIA R FITZSIMMONS PSY.D. (OWNER/PSYCHOLOGIST)
(864) 546-0217
Entity
Organization
Contact information
Practice address
1 CHICK SPRINGS RD, SUITE 215, GREENVILLE, SC 29609
(864) 546-0217
Mailing address
9 WOODLAND LN, GREENVILLE, SC 29615
(864) 546-0217
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PS0469
—
SC
Enumeration date
10/22/2014
Last updated
10/22/2014
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