Individual
CAITLIN FANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
430 E SHIRLEY AVE, WARRENTON, VA 20186-3725
(540) 422-7140
Mailing address
6113 PILGRIMS REST RD, BROAD RUN, VA 20137-2315
(571) 495-9905
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2204000169
VA
Other
Enumeration date
08/23/2018
Last updated
12/03/2021
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