Organization
BRANDY CUNNINGHAM
Active
Other names
Brandy Cunningham LCSW LLC
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDY CUNNINGHAM LCSW (OWNER)
(479) 459-4230
Entity
Organization
Contact information
Practice address
4943 OLD GREENWOOD RD STE 7, FORT SMITH, AR 72903-6923
(479) 459-4230
Mailing address
PO BOX 824, FORT SMITH, AR 72902-0824
(479) 459-4230
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1659431187
NPI
AR
Enumeration date
03/17/2023
Last updated
02/07/2024
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