Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | C001547 | NC |
NPI | 1003015405 |
---|---|
Provider Name | Ms. Cynthia B Danner |
First Address | Winston Salem, NC 27104-4220 |
Second Address | Winston Salem, NC 27104-4220 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/07/2007 |
Last Update Date | 16/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
6003321 | (05) | NC |