Individual
ANGELYN M CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
3704 91ST ST, JACKSON HEIGHTS, NY 11372-7914
(347) 730-4249
Mailing address
8611 JAMAICA AVE FL 2, WOODHAVEN, NY 11421-2043
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
P118079
NY
Other
Enumeration date
11/21/2022
Last updated
11/21/2022
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