GREGORY CANNON

CRETE, IL
NPI1740644517
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2016-04-07
Last Update Date2016-04-07
Business Address
-- GREGORY CANNON
250 ARBON CT
CRETE, IL 60417-1121
Phone number: 708-704-2427
Mailing Address
-- GREGORY CANNON
250 ARBON CT
CRETE, IL 60417-1121
Phone number: 708-704-2427
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