Individual
MS. JENNA CUNNINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
484 MAIN ST, WORCESTER, MA 01608-1893
(800) 244-2756
Mailing address
25 BRIMMER ST APT 1, BOSTON, MA 02108-1040
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7735
MA
Other
Enumeration date
09/09/2009
Last updated
09/09/2009
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