Individual
CYNTHIA K. DUEWALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1109 CARTER ST, VIDALIA, LA 71373-3227
(318) 336-4700
Mailing address
768 HIGHWAY 875, WISNER, LA 71378-4830
(281) 814-4461
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
70638
TX
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
09/17/2015
Last updated
03/31/2020
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