RENETTA DAWN CANNON

ALBUQUERQUE, NM
NPI1750615134
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NM  0084181)
Enumeration Date2009-10-01
Last Update Date2009-10-01
Business Address
-- RENETTA DAWN CANNON LSAA
600 1ST ST NW STE 200
ALBUQUERQUE, NM 87102-2311
Phone number: 505-224-9124
Mailing Address
-- RENETTA DAWN CANNON LSAA
600 1ST ST NW STE 200
ALBUQUERQUE, NM 87102-2311
Phone number: 505-224-9124
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