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Individual

MS. ANGELA G CUNNINGHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M,S, LPC

Contact information

Practice address
3000 UNITED FOUNDERS BLVD STE 225G, OKLAHOMA CITY, OK 73112-4281
(405) 820-9005
Mailing address
3512 MEADOW LN, EDMOND, OK 73013-5423
(405) 820-9005

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC 1306
OK

Other

Enumeration date
05/15/2007
Last updated
07/08/2007
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