Individual
DREW DOUGLAS CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW
Contact information
Practice address
5555 N 51ST STREET, MILWAUKEE, WI 53218
(414) 527-6970
(414) 527-6971
Mailing address
5555 N 51ST STREET, MILWAUKEE, WI 53218
(414) 527-6970
(414) 527-6971
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7802-123
WI
Other
Enumeration date
03/08/2012
Last updated
12/31/2013
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