Individual
MRS. LATRICIA WAYNETTE CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, SAC-IT
Contact information
Practice address
5800 W BURLEIGH ST, MILWAUKEE, WI 53210-1516
(414) 301-2852
(414) 301-2857
Mailing address
PO BOX 13913, WAUWATOSA, WI 53213-0913
(414) 301-2852
(414) 301-2857
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12251-123
WI
Other
Enumeration date
06/16/2022
Last updated
04/11/2025
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