Individual
MRS. CHRYSTAL CUNNINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
2601 N ROCK ISLAND RD APT 105, MARGATE, FL 33063-1223
(954) 242-8560
Mailing address
1925 S PERIMETER RD, FORT LAUDERDALE, FL 33309-7122
(954) 958-0988
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
W2206 31239
—
FL
Enumeration date
10/20/2015
Last updated
12/21/2022
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