Individual
CYNTHIA M FANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
205 W 14TH ST, SUITE 100A, WILMINGTON, DE 19801-1114
(302) 320-2620
Mailing address
200 HYGEIA DR, SUITE 2300, NEWARK, DE 19713-2049
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
Q1-0001323
DE
Other
Enumeration date
11/17/2015
Last updated
11/17/2015
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