Provider Information for 1659431187
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Ms. BRANDY CUNNINGHAM LCSW
Sex: Female
NPI: 1659431187
Last Updated: 2021-08-06
Certification Date: 2021-08-06
Certification Date: 2021-08-06
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1659431187 | ||||||||||||
| Enumeration Date | 2006-12-12 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 3706 HON AVE FORT SMITH, AR 72903-1732 United States Phone: 479-459-4230 | Fax: | ||||||||||||
| Primary Practice Address | 220 N GREENWOOD AVE FORT SMITH, AR 72901-3452 United States Phone: 479-459-4230 | Fax: | ||||||||||||
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