Individual
MRS. ALLISON M CANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2046 GOLF COURSE DR, RESTON, VA 20191-3820
(561) 926-3647
Mailing address
2046 GOLF COURSE DR, RESTON, VA 20191-3820
(561) 926-3647
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904011483
VA
Other
Enumeration date
07/18/2024
Last updated
07/18/2024
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