Most Relevant Information
Provider Data
| NPI Number: | 1003352485 |
| Provider Name: | PATRICIA CANNON |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | I1101324 |
Most Important Dates
| Enumeration Date: | 01/10/2017 |
| Last Updated: | 01/10/2017 |
Provider Practice Location
26151 LAKE SHORE BLVD
501
EUCLID
OH
441321176
Practice Location Phone/Fax
| Phone: | 2169654647 |
| Fax: |
Provider Mailing Location
26151 LAKE SHORE BLVD
501
EUCLID
OH
441321176
Provider Mailing Phone/Fax
| Phone: | 2169654647 |
| Fax: |