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1871711101
MARY P CANNON
PROVO, UT
NPI
1871711101
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 135563-3501)
Enumeration Date
2007-04-23
Last Update Date
2009-11-18
Business Address
-- MARY P CANNON LCSW
1190 N 900 E
PROVO, UT 84604-3536
Phone number: 801-422-7620
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Mailing Address
-- MARY P CANNON LCSW
1190 N 900 E LDS FAMILY SERVICES
PROVO, UT 84604-3536
Phone number: 801-422-7620
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