Patrice Cannon, LCSW

NPI #1386931962 in Lithonia, Georgia

Provider Information

NPI Number: 1386931962
Entity Type: Individual
Name: Patrice Cannon, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Jul 5, 2011
Last Updated: Jul 5, 2011

Practice Location

Address: 5481 TUNBRIDGE WELLS RD
City: Lithonia
State: Georgia
ZIP Code: 30058-5684
Phone: (678) 460-0345

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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