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Contact Information

CHRISTINA R CANNON
130 LETOURNEAU AVE. BLDG. 90311
HURLBURT FIELD, FL32544
 Phone: 850-881-5061
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for CHRISTINA R CANNON · (Female)

NPI Number 1043909765
Status Active
Credentials
Entity Individual
Enumeration date 05/08/2023
Last updated 05/08/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • FL License # SW20985
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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