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Individual

BILLIE JOANN CANNON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1520 PLAZA ST NW, SALEM, OR 97304
(503) 385-8409
Mailing address
1520 PLAZA ST NW, SALEM, OR 97304
(503) 385-8409
(503) 585-0128

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
OR

Other

Enumeration date
05/21/2008
Last updated
02/19/2014
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