Individual
JESSICA ANIL CYRUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3918 POINDEXTER AVE, WINSTON SALEM, NC 27106-2025
(336) 995-9329
Mailing address
3918 POINDEXTER AVE, WINSTON SALEM, NC 27106-2025
(336) 995-9329
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
C014346
NC
Other
Enumeration date
06/18/2022
Last updated
06/18/2022
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