Individual
MARQUITA MELISSA CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1003 HUGH WALLIS RD S, LAFAYETTE, LA 70508-2528
(337) 205-4444
Mailing address
4700 WICHERS DR STE 105, MARRERO, LA 70072-3054
(504) 383-7448
(504) 383-7448
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
07/25/2019
Last updated
11/18/2019
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