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Individual

MICHAEL CANNONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
156 MAIN ST, BINGHAMTON, NY 13905-2611
(607) 729-6206
Mailing address
165 MAIN ST., STE A, CORTLAND, NY 13045-3049
(607) 753-0234

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
095617
NY

Other

Enumeration date
12/19/2018
Last updated
09/12/2023
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