Individual
KELLY LOUISE CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
626 CENTRAL AVE APT 3, PAWTUCKET, RI 02861-1958
(603) 381-1914
Mailing address
626 CENTRAL AVE APT 3, PAWTUCKET, RI 02861-1958
(603) 381-1914
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
410400
MA
Other
Enumeration date
07/06/2016
Last updated
07/06/2016
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