Individual
MS. CYNTHIA MARY BRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
15333 N PIMA RD STE 305, SCOTTSDALE, AZ 85260-2717
(866) 949-0108
Mailing address
40 S MAIN ST STE 1300, MEMPHIS, TN 38103-5513
(866) 949-0108
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LMSW-12413
AZ
1041C0700X
Clinical Social Worker
Primary
LCSW-15836
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
082928
—
AZ
Enumeration date
04/23/2007
Last updated
08/19/2021
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