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Individual

MRS. CYNTHIA LEA CLOUGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NCC LMHC

Contact information

Practice address
405 EAST MAIN STREET, ANAMOSA, IA 52205
(319) 363-0636
Mailing address
5400 KIRKWOOD BLVD SW, FOUR OAKS, CEDAR RAPIDS, IA 52404
(319) 364-0259
(866) 290-5565

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
00774
IA

Other

Enumeration date
11/30/2006
Last updated
07/08/2007
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