Individual
MS. DONNA MARIE CUNNINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
138 S. MAIN ST., AFTON, OK 74331-1822
(918) 257-4244
Mailing address
138 S. MAIN ST., AFTON, OK 74331-1822
(918) 257-4244
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K02270621
DRIVERS LICENSE
KS
Enumeration date
08/30/2017
Last updated
04/08/2022
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