Individual
MS. KERRY A. CANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
1577 PENNSYLVANIA CT, COOS BAY, OR 97420-9203
(323) 798-7413
(833) 419-0181
Mailing address
1577 PENNSYLVANIA CT, COOS BAY, OR 97420-9203
(209) 592-0009
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
80395
CA
Other
Enumeration date
11/10/2008
Last updated
06/20/2023
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