Mrs. Stacey Weathers-Cannon
Mrs. Stacey Weathers-Cannon is a Developmental Therapist in Calumet City, Illinois. Licensed in Illinois. Registered with an NPI since 2020.
- Licensed in
- IL
- In the registry since
- 2020
- Specialties on file
- 2
Practice location Address checks out
650 Ingraham AveCalumet City, IL 60409-4236
Phone: (708) 546-8208
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Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X (IL) |
|---|---|
| Developmental Therapist | Taxonomy 222Q00000X |
Record details
| NPI number | 1538771076 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 17, 2020 |
| Last updated in NPPES | August 17, 2020 |
| Certification date | August 17, 2020 |
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