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Individual

MS. LA NISEIA KENDRAE CUNNINGHAM I

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC-IT

Contact information

Practice address
4550 W BRADLEY RD, BROWN DEER, WI 53223-3713
(414) 371-2400
(414) 371-1600
Mailing address
4550 W BRADLEY RD, BROWN DEER, WI 53223-3713
(414) 371-2400
(414) 371-1600

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2201-226
WI

Other

Enumeration date
07/29/2014
Last updated
07/29/2014
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