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Individual

LACRESHA A CUNNINGHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
504 FAIR ST SW, ATLANTA, GA 30313-1206
(470) 326-0588
Mailing address
671 BENSON HURST DR SW, MABLETON, GA 30126-1409
(312) 927-6484

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149022854
IL

Other

Enumeration date
03/02/2021
Last updated
08/07/2025
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