Individual
CYNTHIA S FEDOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
901 N 1ST ST, SUITE 225, SPRINGFIELD, IL 62702-3759
(217) 788-4065
(217) 788-4147
Mailing address
710 N 8TH ST, SPRINGFIELD, IL 62702-6324
(217) 525-1064
(217) 525-1651
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149013865
IL
Other
Enumeration date
06/11/2012
Last updated
06/11/2012
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