Individual
KIMBERLY NICOLE CUNNINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LBSW
Contact information
Practice address
1409 PEPPERIDGE LN, FORT WORTH, TX 76131-5205
(817) 412-0460
Mailing address
1409 PEPPERIDGE LN, FORT WORTH, TX 76131-5205
(817) 412-0460
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/05/2020
Last updated
02/05/2020
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