Individual
DWYN TERRICE CANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
635 EDGEWOOD ST NE APT 718, WASHINGTON, DC 20017-4133
(202) 722-0502
Mailing address
14200 PEAR TREE LN APT 41, SILVER SPRING, MD 20906-2518
(240) 918-0709
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
06/28/2021
Last updated
12/01/2023
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