Provider Information for 1902233547
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Ms. BARBARA EMILY CANNON MA, LMHC
Sex: Female
NPI: 1902233547
Last Updated: 2013-09-27
Certification Date:
Certification Date:
Details
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NPI | 1902233547 | ||||||||
Enumeration Date | 2013-09-27 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | NO | ||||||||
Status | Active | ||||||||
Mailing Address | 391 WESTERN AVE ALBANY, NY 12203-1401 United States Phone: 518-242-4731 | Fax:518-242-4747 | ||||||||
Primary Practice Address | 391 WESTERN AVE ALBANY, NY 12203-1401 United States Phone: 518-242-4731 | Fax:518-242-4747 | ||||||||
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