Individual
LILY CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1 BOSTON MEDICAL CTR PL STE 1, BOSTON, MA 02118-2999
(617) 638-8000
Mailing address
13 PLEASANT AVE APT 2, SOMERVILLE, MA 02143-1850
(860) 214-1000
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
230782
MA
Other
Enumeration date
02/06/2026
Last updated
02/06/2026
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