Individual
LAURA CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
42 W MADISON ST, CHICAGO, IL 60602-4309
(773) 553-1800
Mailing address
42 W MADISON ST, CHICAGO, IL 60602-4309
(773) 553-1800
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
10/08/2021
Last updated
10/08/2021
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