Individual
KENNETH CHARLES CUMMINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3601 S 6TH AVE, TUCSON, AZ 85723-0002
(520) 270-6836
Mailing address
12162 W AVIANNA WAY, MARANA, AZ 85653-1059
(520) 270-6836
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/14/2023
Last updated
07/14/2023
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