Provider Demographics
NPI:1194575043
Name:DEAN, CYNTHIA EARLY (LCSW-A)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:EARLY
Last Name:DEAN
Suffix:
Gender:F
Credentials:LCSW-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 ZION PL
Mailing Address - Street 2:
Mailing Address - City:CLAYTON
Mailing Address - State:NC
Mailing Address - Zip Code:27520-6246
Mailing Address - Country:US
Mailing Address - Phone:919-903-1107
Mailing Address - Fax:
Practice Address - Street 1:34 ZION PL
Practice Address - Street 2:
Practice Address - City:CLAYTON
Practice Address - State:NC
Practice Address - Zip Code:27520-6246
Practice Address - Country:US
Practice Address - Phone:919-903-1107
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-25
Last Update Date:2024-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0202951041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical