Individual
DR. CYNTHIA CLOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DSW, LCSW
Contact information
Practice address
1420 WALNUT ST STE 1412, PHILADELPHIA, PA 19102-4014
(215) 694-2383
Mailing address
1420 WALNUT ST STE 1412, PHILADELPHIA, PA 19102-4014
(215) 694-2383
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW015019
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11622513
CAQH
—
Enumeration date
11/10/2006
Last updated
05/11/2022
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