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1083162275
EMILY FANNAN
SAN DIEGO, CA
NPI
1083162275
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 88566)
Enumeration Date
2016-09-15
Last Update Date
2019-08-27
Business Address
Mrs. EMILY FANNAN LCSW
3665 KEARNY VILLA RD STE 101
SAN DIEGO, CA 92123-1954
Phone number: 858-966-5832
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Mailing Address
Mrs. EMILY FANNAN LCSW
6349 RANCHO MISSION RD UNIT 3
SAN DIEGO, CA 92108-2007
Phone number: 707-217-8908
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