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Patrice Cannon, LCSW
NPI 1386931962 · on the registry since 2011 · sole proprietor
Practice
- Address
- 5481 Tunbridge Wells Rd
Lithonia, GA 30058 - Phone
- (678) 460-0345
- Fax
- (678) 460-0350
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-07-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia