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NPI Code Detail

MEDICARE: BRITTNEY CUNNINGHAM LCSW

MEDICARE: BRITTNEY 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 Worker6563-CNV

General Provider Information

NPI Number : 1245516921
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRITTNEY CUNNINGHAM LCSW
Provider Business Mailing Address
First Line : 10120 S EASTERN AVE STE 200
Second Line :
City : HENDERSON
State : NV
Zip : 89052-3926
Country : US
Telephone Number : 702-706-6030
Fax Number :
Provider Business Practice Location Address
First Line : 10120 S EASTERN AVE
Second Line : STE 200
City : HENDERSON
State : NV
Zip : 89052-3926
Country : US
Telephone Number : 702-706-6030
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/26/2011
Last Update Date : 10/09/2021

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Directions to “ BRITTNEY CUNNINGHAM LCSW” Practice Location

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