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Individual
MS. JESSICA FANNING
Active
Individual
MS. JESSICA FANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
SA10996
FL
235Z00000X
Speech-Language Pathologist
Primary
SP.13069
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003251000
—
FL
Enumeration date
09/14/2009
Last updated
09/14/2026
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