Marisa Cannon LMSW
Clinical Social Worker in Commerce Township, MI(View on Map)
Full Name
Marisa Cannon LMSW
NPI Number
1427747120
NPI Type
Individual Provider
Gender
Female
Enumeration Date
05/08/2023
Specialties
(Taxonomies)Licenses
State
Michigan
License Number
6801116329
Contact
Information
Purpose
Mailing
Location
Address
9409 N HAGGERTY RD
2000 E OAKLEY PARK RD
City
Plymouth
Commerce Township
State
MI
MI
Postal Code
48170-4696
48390-1500
Country
US
US
Telephone Number
(734) 559-3540
(734) 559-3540
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 05/08/2023
Provider Address
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