Individual
SHAWNA CANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
304 W TOBIAS ST, FLINT, MI 48503-3975
(810) 233-4093
(810) 233-4964
Mailing address
304 W TOBIAS ST, FLINT, MI 48503-3975
(810) 233-4093
(810) 233-4964
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/01/2015
Last updated
07/01/2015
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