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Individual

CYNTHIA D BENEDICT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
8008 CARONDELET AVE STE 308, CLAYTON, MO 63105
(407) 234-6922
Mailing address
481 HOMER AVE, LONGWOOD, FL 32750-6722
(407) 949-1954
(866) 850-2178

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2016011618
MO
101YM0800X
Mental Health Counselor
Primary
MH6009
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
765768400
FL
Enumeration date
08/31/2006
Last updated
09/04/2018
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