Individual
CHARITY FANNIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
60 PROFESSIONAL PARK DR, LOUISA, KY 41230-9644
(606) 638-4332
Mailing address
PO BOX 790, ASHLAND, KY 41105-0790
(606) 329-8588
(606) 886-4433
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
253260
KY
Other
Enumeration date
08/19/2016
Last updated
08/30/2024
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