Individual
KELSEY CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EIS, LBSW
Contact information
Practice address
1709 10TH ST, WICHITA FALLS, TX 76301-5010
(940) 696-6200
(940) 696-6210
Mailing address
9996 COUNTY LINE RD N, ELECTRA, TX 76360-3606
(806) 731-2290
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
59451
TX
174400000X
Specialist
Primary
15-0037
TX
Other
Enumeration date
02/08/2018
Last updated
02/08/2018
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