Individual
CYNTHIA KSIAZEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSWMS
Contact information
Practice address
857 E VIRGINIA, BEAUMONT, TX 77705
(409) 880-8466
(409) 880-7703
Mailing address
857 E VIRGINIA, BEAUMONT, TX 77705
(409) 880-8466
(409) 880-7703
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
28099
TX
Other
Enumeration date
07/15/2010
Last updated
07/15/2010
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