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Individual
MS. MARY M. CEYNOWA
Active
Individual
MS. MARY M. CEYNOWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LP
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC2886
CO
103T00000X
Psychologist
LP0227
MN
Other
Enumeration date
12/29/2010
Last updated
12/29/2010
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