Individual
DR. LUCY ROBERTS CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
100 EDGEWOOD AVE NE, 1800, ATLANTA, GA 30303-3026
(404) 875-0201
(800) 661-2054
Mailing address
100 EDGEWOOD AVE NE, 1800, ATLANTA, GA 30303-3026
(404) 875-0201
(800) 661-2054
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
CSW002455
GA
Other
Enumeration date
02/05/2014
Last updated
02/05/2014
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