Individual
CYNTHIA IDALY PINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 539-9582
Mailing address
216 INDIAN SPRINGS TRL, BOERNE, TX 78006-8125
(830) 388-6568
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
54549
TX
Other
Enumeration date
11/07/2011
Last updated
03/11/2022
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