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1124352083
THOMAS A. CANNON
PORTLAND, ME
NPI
1124352083
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: ME CC3836)
Enumeration Date
2009-09-25
Last Update Date
2015-04-20
Business Address
-- THOMAS A. CANNON LCPC
165 LANCASTER ST
PORTLAND, ME 04101-2406
Phone number: 207-874-1030
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Mailing Address
-- THOMAS A. CANNON LCPC
78 ATLANTIC PL
SOUTH PORTLAND, ME 04106-2316
Phone number: 207-661-6654
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