FREDERICK CANNON

MELROSE PARK, IL
NPI1659075752
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
Enumeration Date2023-03-30
Last Update Date2023-03-30
Business Address
FREDERICK CANNON QMHP
1919 MAIN ST HOPE HALL
MELROSE PARK, IL 60160-6016
Phone number: 312-810-4340
Mailing Address
FREDERICK CANNON QMHP
1919 MAIN STREET HOPE HALL
MELROSE PARK, IL 60160-3737
Phone number: 312-810-4340
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