Individual
LESLIE CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ALC
Contact information
Practice address
1436 NOCOSEKA TRL APT B4, ANNISTON, AL 36207-6720
(256) 689-5593
Mailing address
1436 NOCOSEKA TRL APT B4, ANNISTON, AL 36207-6720
(256) 689-5593
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
3399
AL
Other
Enumeration date
06/15/2020
Last updated
06/15/2020
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