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1538756283
DEBRA CANNON
NEW HAVEN, CT
NPI
1538756283
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CT 001391)
Enumeration Date
2020-12-29
Last Update Date
2020-12-29
Business Address
DEBRA CANNON
1580 CHAPEL ST
NEW HAVEN, CT 06511-4205
Phone number: 203-908-8978
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Mailing Address
DEBRA CANNON
33 TIERNEY RD
HAMDEN, CT 06514-4206
Phone number:
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