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Individual

ANNMARIE FANI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
202 E BAGLEY RD, BEREA, OH 44017-2058
(216) 260-8300
Mailing address
434 EASTLAND RD, BEREA, OH 44017-1217
(216) 234-2006

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S-0027540
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0273214
OH
Enumeration date
11/20/2017
Last updated
01/17/2020
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