Individual
AMANDA CUNNINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
508 E 17TH ST, CHEYENNE, WY 82001-4612
(307) 630-3481
(307) 635-3965
Mailing address
508 E 17TH ST, CHEYENNE, WY 82001-4612
(307) 630-3481
(307) 635-3965
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-452
WY
Other
Enumeration date
08/20/2006
Last updated
07/08/2007
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