CARISSA CANNON

DETROIT, MI
NPI1134337793
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2007-05-18
Last Update Date2007-07-08
Business Address
-- CARISSA CANNON
13929 HARPER AVE
DETROIT, MI 48213-3672
Phone number: 313-371-0055
Mailing Address
-- CARISSA CANNON
19386 GABLE ST
DETROIT, MI 48234-2626
Phone number: 313-221-3466
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