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Individual

CYNTHIA RUSSO MAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPA

Contact information

Practice address
1619 S TAYLOR ST, GOLDSBORO, NC 27530-6768
(919) 738-8733
(919) 734-9050
Mailing address
1619 S TAYLOR ST, GOLDSBORO, NC 27530-6768
(919) 738-8733
(919) 734-9050

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1432
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
046GV
BCBS
NC
05
6107090
NC
Enumeration date
09/28/2006
Last updated
08/28/2012
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