Individual
KATHERINE B CANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8401 HARCOURT RD, INDIANAPOLIS, IN 46260-2036
(317) 338-4800
Mailing address
8900 JAYWICK DR APT 207, FISHERS, IN 46037-8566
(317) 727-1959
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34009478A
IN
Other
Enumeration date
04/12/2022
Last updated
06/16/2025
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