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Individual

MORGAN OLIVIA FANNING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CCC-SLP

Contact information

Practice address
905 ARROWHEAD TRL, WARNER ROBINS, GA 31088-5390
(478) 333-6363
(478) 333-6076
Mailing address
905 ARROWHEAD TRL, WARNER ROBINS, GA 31088-5390
(478) 333-6363
(478) 333-6076

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
PCET003451
GA
235Z00000X
Speech-Language Pathologist
Primary
SLP012140
GA

Other

Enumeration date
09/01/2021
Last updated
08/24/2022
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