Individual
KATHRYN PATRICIA CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3804 POPLAR HILL RD STE A, CHESAPEAKE, VA 23321-5524
(757) 484-0703
(757) 484-1096
Mailing address
5361A VIRGINIA BEACH BLVD, VIRGINIA BEACH, VA 23462-1897
(757) 456-2366
(757) 456-2367
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904003710
VA
Other
Enumeration date
03/31/2009
Last updated
03/31/2009
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