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Individual
MICHELE CANNON
Active
Individual
MICHELE CANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, PPS
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
25541
CA
1041C0700X
Clinical Social Worker
Primary
C009133
NC
Other
Enumeration date
10/01/2007
Last updated
12/14/2022
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