Individual
KATHLEEN M. CANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ND
Contact information
Practice address
57 LAFAYETTE ST, NORWICH, CT 06360-3407
(860) 889-1475
Mailing address
PO BOX 422, MYSTIC, CT 06355-0422
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
—
—
Other
Enumeration date
09/28/2017
Last updated
04/05/2018
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