Individual
CHRISTINA R CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
130 LETOURNEAU AVE. BLDG. 90311, HURLBURT FIELD, FL 32544
(850) 881-5061
Mailing address
5755 MARIGOLD LOOP, CRESTVIEW, FL 32539-8406
(803) 686-0411
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW20985
FL
Other
Enumeration date
05/08/2023
Last updated
05/08/2023
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