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1588749550
GLEN T. CANNON
NAPERVILLE, IL
NPI
1588749550
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 180-001189)
Enumeration Date
2006-10-26
Last Update Date
2007-07-08
Business Address
Mr. GLEN T. CANNON LCPC
1460 BOND ST STE. 300
NAPERVILLE, IL 60563-6503
Phone number: 630-859-0120
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Mailing Address
Mr. GLEN T. CANNON LCPC
PO BOX 1446
AURORA, IL 60507-1446
Phone number: 630-859-0120
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