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Individual

CYNTHIA QUISENBERRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LICDC

Contact information

Practice address
4829 MARBURN AVE, DAYTON, OH 45417-9223
(937) 854-3426
Mailing address
4829 MARBURN AVE, DAYTON, OH 45417-9223
(937) 854-3426

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
05/11/2017
Last updated
05/11/2017
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