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Individual

CYNTHIA WITHROW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
3517 BRANDON AVE SW, ROANOKE, VA 24018-1523
(540) 981-1102
(540) 344-4169
Mailing address
301 ELM AVE SW, ROANOKE, VA 24016-4001

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904007391
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1437137734
VA
Enumeration date
06/18/2010
Last updated
06/18/2010
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