Individual
CYNTHIA M CONAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW/LCSW
Contact information
Practice address
205 N MONROE ST, MEDIA, PA 19063-3052
(610) 891-1273
Mailing address
PO BOX 185, 205 N. MONROE STREET, MEDIA, PA 19063-0185
(610) 891-1273
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW013428
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2319071000
BLUE CROSS
PA
01
—
7829451
AETNA
PA
Enumeration date
04/11/2006
Last updated
11/30/2007
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