Individual
MS. CYNTHIA WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., CCC-SLP
Contact information
Practice address
3948 BROWNING PL STE 329, RALEIGH, NC 27609-6512
(919) 946-9787
(866) 294-8582
Mailing address
PO BOX 40786, RALEIGH, NC 27629-0786
(919) 946-9787
(866) 294-8582
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6440
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7412303
—
NC
Enumeration date
10/09/2006
Last updated
10/05/2011
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