Provider Demographics
NPI:1851607667
Name:ZAMORA, CYNTHIA (LBSW-MSSW)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:
Last Name:ZAMORA
Suffix:
Gender:F
Credentials:LBSW-MSSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:508 E CARDINAL AVE
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-2233
Mailing Address - Country:US
Mailing Address - Phone:956-342-5132
Mailing Address - Fax:
Practice Address - Street 1:508 E CARDINAL AVE
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-2233
Practice Address - Country:US
Practice Address - Phone:956-342-5132
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-31
Last Update Date:2010-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX51951104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker