Individual
MRS. CYNTHIA OWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
5120 VILLAGE SQUARE DR, SUITE 101, PADUCAH, KY 42001-9060
(270) 538-0851
(270) 538-0852
Mailing address
5120 VILLAGE SQUARE DR, SUITE 101, PADUCAH, KY 42001-9060
(270) 538-0851
(270) 538-0852
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1672
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000297380
BCBS ID
KY
01
—
262679
COMPSYCH ID
KY
01
—
556419000
MAGELLAN ID
KY
01
—
682871
HEALTHLINK ID
KY
Enumeration date
07/10/2006
Last updated
09/13/2010
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