Individual
CYNTHIA JEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
50 W HAWTHORNE AVE FL 2, VALLEY STREAM, NY 11580-6220
(516) 569-6600
Mailing address
570 E 94TH ST, BROOKLYN, NY 11236-1104
(917) 561-0365
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
097408-1
NY
Other
Enumeration date
08/17/2018
Last updated
08/17/2018
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