Individual
KAYLA RAE CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSSW
Contact information
Practice address
535 COUNTRY CLUB RD SE, CORYDON, IN 47112-1705
(812) 738-2114
Mailing address
535 COUNTRY CLUB RD SE, CORYDON, IN 47112-1705
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
04/13/2018
Last updated
04/13/2018
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