Cannon, Rose Mary

Cannon, Rose Mary is an sole proprietor health care provider with primary practice located at 1200 E 12 Mile Rd , Madison Hts MI 48071-2652. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Cannon, Rose Mary can be contacted via phone (248) 658-1116.

Contact Information

Primary practice address
1200 E 12 Mile Rd Madison Hts MI 48071-2652
Phone: (248) 658-1116
Fax: (248) 658-1120
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6801057224 Michigan

Profile Details

NPI number 1235423799
LBN Legal business name Cannon, Rose Mary
Credentials MSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 1st, 2011
Last updated Jun 1st, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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