Provider Demographics
NPI:1437497617
Name:WALDEN, CYNTHIA R (LCSW)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:R
Last Name:WALDEN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 HOLLY AVE
Mailing Address - Street 2:
Mailing Address - City:YUKON
Mailing Address - State:OK
Mailing Address - Zip Code:73099-3803
Mailing Address - Country:US
Mailing Address - Phone:405-830-2203
Mailing Address - Fax:
Practice Address - Street 1:1601 HEALTH CENTER PKWY STE 7
Practice Address - Street 2:
Practice Address - City:YUKON
Practice Address - State:OK
Practice Address - Zip Code:73099-6652
Practice Address - Country:US
Practice Address - Phone:405-295-5613
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-23
Last Update Date:2021-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical