DANIELLE ELAINE CANNON

COEUR D ALENE, ID
NPI1437673274
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ID  LCSW-31545)
Enumeration Date2017-08-02
Last Update Date2017-08-02
Business Address
DANIELLE ELAINE CANNON LCSW
950 W IRONWOOD DR STE 6
COEUR D ALENE, ID 83814-2644
Phone number: 208-661-2645
Mailing Address
DANIELLE ELAINE CANNON LCSW
14615 REAGAN CT
RATHDRUM, ID 83858-8327
Phone number: 208-661-2645
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