Individual
BRIAN CUNNINGHAM
Active
Individual
BRIAN CUNNINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW-C
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
20301
MD
1041C0700X
Clinical Social Worker
Primary
20301
MD
Other
Enumeration date
09/12/2014
Last updated
02/26/2021
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