Individual
BRENDA ALICE CUNNINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
120 W. MAIN STREET, CHOUTEAU, OK 74337
(918) 697-3822
Mailing address
120 W. MAIN STREET, CHOUTEAU, OK 74337
(918) 697-3822
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4139
OK
Other
Enumeration date
05/20/2010
Last updated
03/13/2015
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