Individual
KAREN CANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
183 MORNINGSIDE DR, ST MATTHEWS, SC 29135-9226
(803) 874-1816
(803) 874-1816
Mailing address
183 MORNINGSIDE DR, ST MATTHEWS, SC 29135-9226
(803) 874-1816
(803) 874-1816
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/12/2017
Last updated
04/12/2017
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