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Individual

HEATHER CUNNINGHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1043 GRANT ST, CHARLESTON, WV 25302-1470
(681) 319-9886
Mailing address
1 CRESTMONT DR APT 8, CHARLESTON, WV 25311-1629
(681) 319-8986

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary

Other

Enumeration date
10/19/2022
Last updated
10/19/2022
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