Individual
LYNN PERSICA CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
923 EXECUTIVE PARK AVE STE 12, BATON ROUGE, LA 70806-2000
(225) 303-0212
(225) 355-1555
Mailing address
8444 S ESSEN HEIGHTS CT, BATON ROUGE, LA 70809-2217
(225) 771-8884
(225) 771-8884
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
14381
LA
171M00000X
Case Manager/Care Coordinator
14381
LA
Other
Enumeration date
06/24/2017
Last updated
09/12/2018
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