Individual
MS. SUSAN L CUNNINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PRSS
Contact information
Practice address
1514 KANAWHA BLVD W, CHARLESTON, WV 25387-2533
(304) 768-5120
(304) 768-7647
Mailing address
1514 KANAWHA BLVD W, CHARLESTON, WV 25387-2533
(304) 768-7688
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
22-9256
WV
Other
Enumeration date
12/21/2022
Last updated
12/21/2022
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