Individual
DIANA LYNN FANNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
7300 GRUBB RD # A, MC KEAN, PA 16426-1066
(724) 396-1510
(724) 972-4627
Mailing address
101 PEMBROKE CT, GREENSBURG, PA 15601-6404
(724) 396-1510
(724) 972-4627
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW139771
PA
Other
Enumeration date
02/09/2023
Last updated
09/10/2024
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