GLEN T. CANNON

NAPERVILLE, IL
NPI1588749550
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  180-001189)
Enumeration Date2006-10-26
Last Update Date2007-07-08
Business Address
Mr. GLEN T. CANNON LCPC
1460 BOND ST STE. 300
NAPERVILLE, IL 60563-6503
Phone number: 630-859-0120
Mailing Address
Mr. GLEN T. CANNON LCPC
PO BOX 1446
AURORA, IL 60507-1446
Phone number: 630-859-0120
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