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Individual

DR. CYNTHIA ELLEN GLIDDEN-TRACEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
1351 N ALMA SCHOOL RD, SUITE #205, CHANDLER, AZ 85224-5936
(480) 491-7048
(480) 963-2036
Mailing address
1351 N ALMA SCHOOL RD, SUITE #205, CHANDLER, AZ 85224-5936
(480) 491-7048
(480) 963-2036

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
3406
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12059824
CAQH ID#
AZ
Enumeration date
02/20/2010
Last updated
02/20/2010
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