Glen T. Cannon is a Clinical in Aurora, Illinois. Glen T. Cannon practices all healthcare services and medical treatments related to Clinical. The NPI Number for Glen T. Cannon is 1588749550. The last update date is 2007-07-08.
Glen T. Cannon's current location address is Po Box 1446, Aurora, Illinois. You can contact this provider via phone number 6308590120 and fax number 6303557679. The mailing address for Glen T. Cannon is Po Box 1446, Aurora, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Glen T. Cannon |
|---|---|
| Address | Po Box 1446, Aurora, Illinois |
| Phone Number | 6308590120 |
| Fax Number | 6303557679 |
| Sole Proprietor | N |
| Credentials | LCPC |
NPI Number Detail
| NPI Number | 1588749550 |
|---|---|
| Provider Enumeration Date | 2006-10-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 1446 |
|---|---|
| City | Aurora |
| State | Illinois (IL) |
| Post Code | 605071446 |
| Phone Number | 6308590120 |
| Fax Number | 6303557679 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Post Comment/ Review Below
What is the Glen T. Cannon's unique identification number?
The Glen T. Cannon has been assigned the NPI (National Provider Identifier) Number 1588749550 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Glen T. Cannon?
The Glen T. Cannon is situated at Po Box 1446, in the city of Aurora, state of IL, with the zip code 605071446.
What is Glen T. Cannon's area of expertise and its corresponding taxonomy classification?
The Glen T. Cannon's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1588749550 to Glen T. Cannon?
The Centers for Medicare & Medicaid Services originally issued the 1588749550 to Glen T. Cannon on 2006-10-26.
As of what date were the details pertaining to Glen T. Cannon last refreshed?
The information related to the Glen T. Cannon, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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