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1871775338
THOMAS E CANNON
GONZALES, LA
NPI
1871775338
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: LA 006117751)
Enumeration Date
2007-11-27
Last Update Date
2007-11-27
Business Address
-- THOMAS E CANNON LCSW
1112 SOUTHEAST ASCENSION COMPLEX AVENUE
GONZALES, LA 70737
Phone number: 225-621-5770
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Mailing Address
-- THOMAS E CANNON LCSW
PO BOX 1725
GONZALES, LA 70707-1725
Phone number: 225-621-5770
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