Individual
CYNTHIA WHITE MEYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
2677 INNSBRUCK DR, SUITE D, NEW BRIGHTON, MN 55112-6395
(651) 633-9233
(651) 633-9485
Mailing address
1283 ONONDAGA WAY NE, FRIDLEY, MN 55432-3533
(651) 307-4899
(651) 633-9233
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10510
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40F73ME
BLUE CROSS BLUE SHIELD
MN
01
—
6383256
STATE ID
MN
Enumeration date
05/17/2007
Last updated
03/02/2012
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