Individual
CINDY ANN BUBLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-R
Contact information
Practice address
4600 CAPITAL BLVD, RALEIGH, NC 27604-4478
(919) 980-7008
Mailing address
PO BOX 746724, ATLANTA, GA 30374-6724
(312) 733-9730
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
085768
NY
1041C0700X
Clinical Social Worker
083764
NY
1041C0700X
Clinical Social Worker
Primary
C012839
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
82-5488072
—
NY
Enumeration date
04/03/2013
Last updated
01/30/2024
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