Individual
GEORGIA FANNIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
110 E MARK ST, MARKSVILLE, LA 71351-2414
(318) 240-7278
Mailing address
1000 CHINABERRY DR STE 900, BOSSIER CITY, LA 71111-2455
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
18261
LA
Other
Enumeration date
01/03/2025
Last updated
01/03/2025
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