Individual
PHYLLIS CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
3604 CANAL ST, NEW ORLEANS, LA 70119-6111
(504) 822-4333
Mailing address
325 KENNEDY ST, AMA, LA 70031-2226
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13493
LA
Other
Enumeration date
01/06/2016
Last updated
01/23/2017
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