Most Relevant Information
Provider Data
| NPI Number: | 1003311135 |
| Provider Name: | KAITLYN JOY CUNNINGHAM LSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 1600922 |
Most Important Dates
| Enumeration Date: | 03/29/2018 |
| Last Updated: | 03/29/2018 |
Provider Practice Location
8904 BROOKSIDE AVE
WEST CHESTER
OH
450693139
Practice Location Phone/Fax
| Phone: | 5136441030 |
| Fax: |
Provider Mailing Location
8904 BROOKSIDE AVE
WEST CHESTER
OH
450693139
Provider Mailing Phone/Fax
| Phone: | 5136441030 |
| Fax: |