Individual
MS. CYNTHIA RENEE CUBBAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.W. , LCSW-C
Contact information
Practice address
3839 FARRAGUT AVE, KENSINGTON, MD 20895-2004
(301) 933-7600
Mailing address
12620 PIEDMONT TRAIL RD, CLARKSBURG, MD 20871-4303
(240) 620-4353
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11498
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
370006200
—
MD
Enumeration date
08/08/2006
Last updated
07/09/2007
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