Individual
RACE CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
2871 AMERICAN ST, SPRINGDALE, AR 72764-6938
(479) 927-1350
Mailing address
2871 AMERICAN ST, SPRINGDALE, AR 72764-6938
(479) 927-1350
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
373H00000X
AR
Other
Enumeration date
04/24/2017
Last updated
04/24/2017
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