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Individual
KANNON ELIZABETH
Active
Individual
KANNON ELIZABETH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LICSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CG60441194
WA
101YM0800X
Mental Health Counselor
LW60713264
WA
101YP2500X
Professional Counselor
L7100
OR
Other
Enumeration date
02/21/2014
Last updated
06/16/2022
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