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Individual

CYNTHIA ALLISON SPROUSE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA/CAS

Contact information

Practice address
103 BRADY CT STE A, SUITE A, CARY, NC 27511-4574
(919) 465-2550
Mailing address
103 BRADY CT, SUITE A, CARY, NC 27511-4574

Taxonomy

Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
2042
NC

Other

Enumeration date
08/02/2016
Last updated
08/02/2016
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