Individual
ANGEL DESOUZA CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
5241 WILSON MILLS RD STE 24, CLEVELAND, OH 44143-2141
(216) 926-8879
Mailing address
PO BOX 21340, SOUTH EUCLID, OH 44121-0340
(216) 308-5347
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S. 1101314
OH
Other
Enumeration date
10/15/2012
Last updated
10/15/2012
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