Individual
MARIAN BROWN CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
505 SUNSET AVE, ROCKY MOUNT, NC 27804-5616
(252) 212-5524
Mailing address
408 N MARTIN LUTHER KING JR DR, WILLIAMSTON, NC 27892-1931
(252) 217-1603
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NC
Other
Enumeration date
04/27/2022
Last updated
04/27/2022
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