Individual
LINDA BELLER FANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW, ACSW
Contact information
Practice address
2507 CHRISTIE CR., MARYLHURST, OR 97036
(503) 635-3416
(503) 697-6932
Mailing address
PO BOX 368, MARYLHURST, OR 97036-0368
(503) 635-3416
(503) 697-6932
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L1807
OR
Other
Enumeration date
02/28/2007
Last updated
07/08/2007
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