Individual
KIARA CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
921 W BEACON ST, PHILADELPHIA, MS 39350-3229
(601) 650-0002
(601) 650-9902
Mailing address
921 W BEACON ST, PHILADELPHIA, MS 39350-3229
(601) 650-0002
(601) 650-9902
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S-4948
SLP LICENSE
MS
Enumeration date
11/14/2022
Last updated
11/14/2022
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