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Individual

CYNTHIA J SHANNON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, LMFT

Contact information

Practice address
505 E MAIN ST, CLAYTON, NC 27520-2621
(919) 901-9123
Mailing address
505 E MAIN ST STE 204, CLAYTON, NC 27520-2621

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1908
NC
106H00000X
Marriage & Family Therapist
201724
TX

Other

Enumeration date
02/14/2008
Last updated
01/07/2019
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