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Individual

CYNTHIA TRI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW, LICSW, LSSW,

Contact information

Practice address
7031 19TH ST SE, EYOTA, MN 55934-8005
(507) 421-9676
(507) 218-2487
Mailing address
7031 19TH ST SE, EYOTA, MN 55934-8005
(507) 421-9676
(507) 218-2487

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
19398
MN
1041C0700X
Clinical Social Worker
Primary
19398
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1477940666
MN
Enumeration date
04/17/2015
Last updated
04/25/2018
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