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Individual

CYNTHIA BRODY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MFT

Contact information

Practice address
582 MASSACHUSETTS AVE, LEXINGTON, MA 02420-4022
(781) 538-5647
Mailing address
582 MASSACHUSETTS AVE, LEXINGTON, MA 02420-4022
(781) 538-5647

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFC31556
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1493
MA MFT LICENSE
MA
Enumeration date
06/26/2007
Last updated
10/03/2014
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