| Doctor Name: | PROF. CYNTHIA MARIE MILLFORD |
| NPI Number: | 1104085943 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 50030 |
| Business Practice Address: | 650 Lazy Oaks Dr Canyon Lake, TX - 781333323 |
| Business Phone Number: | 2107222656 |
| Business Fax Number: | |
| Mailing Address: | Po Box 2481, CANYON LAKE |
| State: | TX |
| Postal Code: | 781330012 |
| Phone Number: | 2107222656 |
| Fax Number: | |
| NPI Enumeration Date: | 06/06/2008 |
| NPI Last Update Date: | 06/06/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 50030 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |