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NPI Code Detail

MEDICARE: FABIOLA G CUNNINGHAM LCSW

MEDICARE: FABIOLA G CUNNINGHAM LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerLCSW25593AZ
21041C0700XClinical Social WorkerCSW.09930209CO

General Provider Information

NPI Number : 1144041625
Entity Type Code : Individual
Provider Name (Legal Business Name) : FABIOLA G CUNNINGHAM LCSW
Provider Business Mailing Address
First Line : 825 N GRAND AVE
Second Line : SUITE 100
City : NOGALES
State : AZ
Zip : 85621
Country : US
Telephone Number : 520-375-5000
Fax Number : 520-281-4487
Provider Business Practice Location Address
First Line : 1852 N MASTICK WAY
Second Line :
City : NOGALES
State : AZ
Zip : 85621-1063
Country : US
Telephone Number : 520-375-5000
Fax Number : 520-281-4487
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2024
Last Update Date : 06/16/2026

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Directions to “ FABIOLA G CUNNINGHAM LCSW” Practice Location

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