Individual
MS. MARY CANNEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, ED.S
Contact information
Practice address
1860 63RD ST, DOWNERS GROVE, IL 60516-2471
(630) 719-5800
Mailing address
1860 63RD ST, DOWNERS GROVE, IL 60516-2471
(630) 719-5800
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1827972
IL
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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