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Individual
CINDY JO KAVANAGH
Active
Individual
CINDY JO KAVANAGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC I, AS, QMHA
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
14-05-17U
OR
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
01/28/2008
Last updated
03/03/2015
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