Organization
MARIANNE T CANNON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANN MARIE MCGRANE (OFFICE MANAGER)
(978) 535-6043
Entity
Organization
Contact information
Practice address
100 CUMMINGS CTR STE 345F, BEVERLY, MA 01915-6501
(978) 535-6043
(978) 535-6047
Mailing address
100 CUMMINGS CTR STE 345F, BEVERLY, MA 01915-6501
(978) 535-6043
(978) 535-6047
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
RN101598
MA
Other
Enumeration date
07/23/2014
Last updated
11/18/2016
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