Individual
KATHERINE FANFAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
16D KENNEBEC ST, WORCESTER, MA 01606-1060
(508) 527-7454
Mailing address
16D KENNEBEC ST, WORCESTER, MA 01606-1060
(508) 527-7454
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7632
MA
Other
Enumeration date
10/26/2015
Last updated
10/26/2015
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