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Individual
LORI M CUNNINGHAM
Active
Individual
LORI M CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
075295
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01039156
—
NY
Enumeration date
12/05/2007
Last updated
12/05/2007
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