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Individual

MRS. CYNTHIA RENAE DODD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, LPC

Contact information

Practice address
6412 BANNINGTON RD, CHARLOTTE, NC 28226-1327
(704) 364-9176
Mailing address
338 S SHARON AMITY RD, #139, CHARLOTTE, NC 28211-2806
(704) 995-5186
(803) 396-8661

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5528
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11925600
CAQH
Enumeration date
08/11/2010
Last updated
08/11/2010
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