Individual
BRENDON CUNNINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
9787 TOMBRECK CT, BRISTOW, VA 20136
(703) 586-7556
Mailing address
9787 TOMBRECK CT, BRISTOW, VA 20136
(703) 586-7556
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904015602
VA
Other
Enumeration date
08/01/2023
Last updated
08/01/2023
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