# FANNY DIEPPA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1205954989
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | — | NULL | — |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | — |
| 174400000X | Specialist | DATA ENTRY | CA | — |
| 225400000X | Rehabilitation Practitioner | — | NULL | Yes |

## Other

- **Enumeration date:** 03/27/2007
- **Last updated:** 09/24/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | C014257 | IS ACCESS NUMBER | CA |
| 01 | — | PSIX455 | PROVIDER NUMBER | CA |