Individual
JACQUELINE M FANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1490 E MAIN ST, COLUMBUS, OH 43205-2140
(614) 252-0731
(624) 252-8468
Mailing address
1490 E MAIN ST, COLUMBUS, OH 43205-2140
(614) 252-0731
(624) 252-8468
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.2504702-TRNE
OH
Other
Enumeration date
01/27/2026
Last updated
01/27/2026
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