Nedra Cannon Lcsw LLC
NPI #1548895626 in East Lansing, Michigan
Provider Information
- NPI Number
- 1548895626
- Entity Type
- Organization
- Organization Name
- Nedra Cannon Lcsw LLC
- Primary Specialty
- Clinic/Center - Adult Mental Health
- Enumeration Date
- Mar 9, 2020
- Last Updated
- Mar 9, 2020
Practice Location
- Address
- 411 W LAKE LANSING RD STE C120
- City
- East Lansing
- State
- Michigan
- ZIP Code
- 48823-8483
- Phone
- (517) 219-5761
Authorized Official
- Name
- NEDRA CANNON
- Title
- OWNER
- Phone
- (517) 219-5761
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adult Mental Health — Adult Mental Health |
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