HEATHER CANNON

PORT ST LUCIE, FL
NPI1760731178
Former NameHEATHER MACVEAN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: FL  SW12512)
Enumeration Date2012-08-30
Last Update Date2023-08-06
Business Address
HEATHER CANNON LCSW
758 NW RAINBOW ST
PORT ST LUCIE, FL 34983-8309
Phone number: 772-834-4872
Mailing Address
HEATHER CANNON LCSW
758 NW RAINBOW ST
PORT ST LUCIE, FL 34983-8309
Phone number: 772-834-4872