Individual
IRENE A CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
1524 N FARWELL AVE, MILWAUKEE, WI 53202-2329
(414) 273-2220
(414) 273-2223
Mailing address
10900 W BLUEMOUND RD, 202, WAUWATOSA, WI 53226-4156
(262) 352-0357
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1976-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39731900
—
WI
Enumeration date
12/30/2006
Last updated
07/08/2007
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