Annette Michelle Gannon

NPI #1548754179 in Independence, Ohio

Provider Information

NPI Number: 1548754179
Entity Type: Individual
Name: Annette Michelle Gannon
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: Jun 18, 2018
Last Updated: Feb 4, 2019

Practice Location

Address: 6200 ROCKSIDE WOODS BLVD N
City: Independence
State: Ohio
ZIP Code: 44131-2333
Phone: (215) 525-1885

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X
Counselor	101Y00000X	Primary

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