Individual
BONNIE L. CANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
2 DUNDEE PARK DR STE 301, ANDOVER, MA 01810-3725
(978) 396-9866
Mailing address
2 DUNDEE PARK DR STE 301, ANDOVER, MA 01810-3725
(978) 396-9866
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LICSW119930
MA
Other
Enumeration date
07/31/2018
Last updated
10/22/2023
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