Individual
DANA MARIE FENNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSED, MS
Contact information
Practice address
2814 GRAY FOX RD, MONROE, NC 28110-8422
(704) 821-0568
(704) 821-0570
Mailing address
2814 GRAY FOX RD, MONROE, NC 28110-8422
(704) 821-0568
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
020545-1
NY
Other
Enumeration date
04/29/2010
Last updated
05/12/2019
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