Cannon, Patrice
Cannon, Patrice is an sole proprietor health care provider with primary practice located at 5481 Tunbridge Wells Rd , Lithonia GA 30058-5684. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Cannon, Patrice can be contacted via phone (678) 460-0345.Contact Information
Primary practice address
5481 Tunbridge Wells Rd
Lithonia GA 30058-5684
Phone: (678) 460-0345
Fax: (678) 460-0350
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | CSW001836 | Georgia |
Profile Details
| NPI number | 1386931962 |
|---|---|
| LBN Legal business name | Cannon, Patrice |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 5th, 2011 |
| Last updated | Jul 5th, 2011 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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