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1982305009
BRUCE A CANNON
PLYMOUTH, MI
NPI
1982305009
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MI 6451022372)
Enumeration Date
2023-03-15
Last Update Date
2023-05-02
Business Address
BRUCE A CANNON
496 W ANN ARBOR TRL STE 106
PLYMOUTH, MI 48170-6262
Phone number: 734-335-8799
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Mailing Address
BRUCE A CANNON
6193 PORTERIDGE LN
CANTON, MI 48187-2626
Phone number: 734-604-3454
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