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MS. CYNDI S BROADWATER LCSW

Clinical >> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1598812034

Individual Registrant:
MS. CYNDI S BROADWATER LCSW
Gender: F
Sole Proprietor

Location and contact information for practice:
7907 BUCK DEANS ROAD  MIDDLESEX, NC 27557 US
Tel: 252-235-2161  Fax: 252-235-2625

Contact information for business:
PO BOX 249  MIDDLESEX, NC 27557-0249 US
Tel: 252-235-2161  Fax: 252-235-2625

Registration Information:
NPI: 1598812034
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical
NCCOO4498

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
6002806NC05




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