Individual
MRS. ANNE MARIE CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1334 N LANSING AVE, TULSA, OK 74106-5907
(918) 587-2171
(918) 587-4534
Mailing address
1334 N LANSING AVE, TULSA, OK 74106-5907
(918) 587-2171
(918) 587-4882
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2014
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100717390B
—
OK
Enumeration date
07/31/2007
Last updated
02/07/2020
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