| Mary Alice Cunningham PC | |
|
7971 Pioneer St Midvale UT 84047-7418 | |
| (801) 842-9800 | |
| Not Available |
| Full Name | Mary Alice Cunningham PC |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 7971 Pioneer St, Midvale, Utah |
| Authorized Official Name and Position | Mary Alice Stoddard Cunningham (CEO) |
| Authorized Official Contact | 8018429800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Alice Cunningham PC 7971 Pioneer St Midvale UT 84047-7418 Ph: (801) 842-9800 | Mary Alice Cunningham PC 7971 Pioneer St Midvale UT 84047-7418 Ph: (801) 842-9800 |
| NPI Number | 1235284100 |
|---|---|
| Provider Enumeration Date | 01/23/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235284100 | NPI | - | NPPES |
| 1093742058 | Other | UT | LCSW |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 323492-3501 (Utah) | Primary |
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