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Individual

CYNTHIA SHINABERRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1600 W EAU GALLIE BLVD STE 201, MELBOURNE, FL 32935-4149
(410) 961-5917
(321) 241-4687
Mailing address
2421 STRATFORD POINTE DR, MELBOURNE, FL 32904-8056
(401) 961-5917
(321) 241-4687

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW13905
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
IZ051A
MEDICARE
FL
Enumeration date
04/16/2017
Last updated
10/24/2018
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