Individual
EMILY ELIZABETH CANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5309 DORSETT DR, MADISON, WI 53711-2609
(864) 640-0533
Mailing address
5309 DORSETT DR, MADISON, WI 53711-2609
(864) 640-0533
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9543-123
WI
Other
Enumeration date
08/09/2023
Last updated
08/09/2023
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