Individual
MS. HEATHER MICHELLE CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
667 SHUNPIKE RD, GREEN VILLAGE, NJ 07935-3021
(973) 714-2453
Mailing address
667 SHUNPIKE RD, GREEN VILLAGE, NJ 07935-3021
(973) 714-2453
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05761800
NJ
Other
Enumeration date
04/17/2007
Last updated
07/05/2022
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