Individual
MRS. ELIZABETH CANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CFY-SLP
Contact information
Practice address
610 LOWRY STREET, PITTSFIELD, IL 62363
(217) 285-5200
Mailing address
19651 PIKE 266, EOLIA, MO 63344
(573) 999-4783
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242.003931
IL
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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