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CYNTHIA ANN EBNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LISW

Contact information

Practice address
505 5TH ST STE 510, SIOUX CITY, IA 51101-1506
(712) 258-4553
(712) 258-4773
Mailing address
209 1ST STREET NE #105, PO BOX 258, ORANGE CITY, IA 51041
(712) 707-9222
(712) 707-9220

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
006965
IA

Other

Enumeration date
11/01/2011
Last updated
11/01/2011
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