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Individual

DR. JAMAL RASHAD CUNNINGHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.ED., PSY.D.

Contact information

Practice address
1845 N FARWELL AVE STE 303B, MILWAUKEE, WI 53202-1715
(872) 216-2514
Mailing address
2615 N CRAMER ST APT 21, MILWAUKEE, WI 53211-3509
(301) 922-3930

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
3611-57
WI
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
3611-57
WI

Other

Enumeration date
11/10/2018
Last updated
11/10/2018
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