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Individual

MRS. CYNTHIA A WATERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW-C

Contact information

Practice address
110 W. CHURCH STREET, SUITE C, SALISBURY, MD 21801
(443) 497-2044
(410) 749-1589
Mailing address
110 W. CHURCH STREET, SUITE C, SALISBURY, MD 21801
(410) 572-5767

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
19328
MD
104100000X
Social Worker
G12878
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
259147-000
MAGELLAN (GROUP)
MD
01
517251
UHCMAMSI (GROUP)
MD
05
609500300
MD
05
609500303
MD
05
609550001
MD
05
609550002
MD
05
609550004
MD
01
LM49EA
CAREFIRST BCBS (GROUP)
MD
01
R968
CAREFIRST FEDERAL (GROUP)
MD
Enumeration date
07/03/2007
Last updated
01/03/2014
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