Most Relevant Information
Provider Data
| NPI Number: | 1003398884 |
| Provider Name: | MARY P CUNNINGHAM LICSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 1029313 |
Most Important Dates
| Enumeration Date: | 08/29/2018 |
| Last Updated: | 08/29/2018 |
Provider Practice Location
9 AMANDA RD
SUDBURY
MA
017762500
Practice Location Phone/Fax
| Phone: | 9786978505 |
| Fax: |
Provider Mailing Location
9 AMANDA RD
SUDBURY
MA
017762500
Provider Mailing Phone/Fax
| Phone: | 9786978505 |
| Fax: |