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1861809832
LISA CANNON
LAFAYETTE, IN
NPI
1861809832
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IN 34007012A)
Enumeration Date
2014-07-22
Last Update Date
2023-11-29
Business Address
LISA CANNON LCSW
100 SAW MILL RD STE 3200
LAFAYETTE, IN 47905-5597
Phone number: 765-267-8534
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Mailing Address
LISA CANNON LCSW
100 SAW MILL RD STE 3200
LAFAYETTE, IN 47905-5597
Phone number: 765-267-8534
Copy
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