Provider Demographics
NPI:1124299433
Name:FRANCO, CYNTHIA L (LMSW)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:L
Last Name:FRANCO
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:C.
Other - Middle Name:LOUISA
Other - Last Name:CASTRO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3125 AMARILLO ST
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79936-2201
Mailing Address - Country:US
Mailing Address - Phone:915-629-0307
Mailing Address - Fax:
Practice Address - Street 1:5005 N PIEDRAS ST
Practice Address - Street 2:WBAMC
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79920-5001
Practice Address - Country:US
Practice Address - Phone:915-569-1233
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-13
Last Update Date:2008-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX25793104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker