Individual
SARA FANELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
130 N GROSS RD STE 125, KINGSLAND, GA 31548-6263
(912) 342-8875
(912) 265-0041
Mailing address
4212 CORAL PARK DR, BRUNSWICK, GA 31520-3016
(912) 342-8875
(912) 265-0041
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP011171
GA
Other
Enumeration date
08/04/2020
Last updated
08/30/2022
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