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1912695271
MICHELLE R CANNON
FORT SILL, OK
NPI
1912695271
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: OK 11197)
Enumeration Date
2023-04-25
Last Update Date
2024-06-26
Business Address
Mrs. MICHELLE R CANNON MS, LPC
4301 WILSON ST
FORT SILL, OK 73503-4472
Phone number: 580-558-8450
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Mailing Address
Mrs. MICHELLE R CANNON MS, LPC
1602 SW 82ND ST
LAWTON, OK 73505-9012
Phone number: 580-510-2744
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