Individual
FLORENCE LILIAN CANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
3774 LAVISTA RD STE 200, TUCKER, GA 30084-5618
(404) 477-9400
Mailing address
3774 LAVISTA RD STE 200, TUCKER, GA 30084-5618
(404) 477-9400
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP006686
GA
235Z00000X
Speech-Language Pathologist
SLP4078
AZ
Other
Enumeration date
11/28/2006
Last updated
04/24/2021
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