Individual
REBECCA CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
320 MANKTOWN RD, WALDOBORO, ME 04572-5816
(207) 832-5380
Mailing address
35 MILES ST, DAMARISCOTTA, ME 04543-4047
(207) 563-4146
(207) 563-3717
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC11553
ME
Other
Enumeration date
10/30/2019
Last updated
10/30/2019
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