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Individual

MRS. CYNTHIA MARIE EBERHART

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPT

Contact information

Practice address
15609 BROADFORDING RD, CLEAR SPRING, MD 21722
(301) 797-1706
Mailing address
15609 BROADFORDING RD, CLEAR SPRING, MD 21722
(301) 797-1706

Taxonomy

Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
225100000X
PA

Other

Enumeration date
01/13/2011
Last updated
01/13/2011
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