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Individual

MARY ANNE FAHEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
401 SOUTH QUEEN STREET, BERKELEY COUNTY BOARD OF EDUCATION, MARTINSBURG, WV 25401
(304) 267-3500
Mailing address
814 WOODLAND WAY, HAGERSTOWN, MD 21742
(301) 739-0756

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0609
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0153459000
WV
Enumeration date
04/08/2008
Last updated
04/08/2008
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