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MRS. CYNTHIA SUE PETERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LISW

Contact information

Practice address
825 1ST AVE NE, WAVERLY, IA 50677
(319) 352-5839
Mailing address
825 1ST AVE NE, WAVERLY, IA 50677
(319) 352-5839

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
03238
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
36175
BLUE CROSS BLUE SHIELD
IA
Enumeration date
11/17/2006
Last updated
07/08/2007
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