Individual
KIMBERLY M CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LISW-CP
Contact information
Practice address
223 E MAIN ST, SUITE 300, ROCK HILL, SC 29730-4571
(803) 328-9600
(803) 329-7141
Mailing address
130 HUDSON ST, CHESTER, SC 29706-1524
(803) 581-9079
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9925
SC
Other
Enumeration date
12/04/2009
Last updated
06/05/2023
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