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Individual

CYNTHIA CABANISS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
351 RIVERSIDE DR, MOUNT AIRY, NC 27030-3850
(336) 783-6919
(336) 783-6923
Mailing address
217 W 2ND AVE, LEXINGTON, NC 27292-3005
(336) 783-6919
(336) 783-6923

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1041
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6102322
NC
Enumeration date
07/02/2006
Last updated
07/08/2007
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