Individual
ANDREA WHITTINGTON FANNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MCD, CCC-SLP
Contact information
Practice address
3246 ROBIN LN, ORANGEBURG, SC 29118-2252
(803) 860-0791
Mailing address
3246 ROBIN LN, ORANGEBURG, SC 29118-2252
(803) 860-0791
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5056
SC
Other
Enumeration date
03/01/2018
Last updated
03/01/2018
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