Individual
CYNTHIA JIRAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
36 LINNAEAN ST, #5, CAMBRIDGE, MA 02138-1574
(617) 876-1790
Mailing address
36 LINNAEAN ST, #5, CAMBRIDGE, MA 02138-1574
(617) 876-1790
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
105651
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P03644
BLUE CROSS BLUE
MA
Enumeration date
03/13/2007
Last updated
07/08/2007
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