Individual
CYNTHIA MARGARET KANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1233 34TH ST NW, BEMIDJI, MN 56601-5112
(218) 333-5000
(218) 333-5360
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
26648
MN
104100000X
Social Worker
4845
ND
1041C0700X
Clinical Social Worker
Primary
26648
MN
Other
Enumeration date
06/14/2013
Last updated
12/31/2020
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