STEPHEN DALE FANNIN

PORTSMOUTH, VA
NPI1417459132
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TS0200X Psychologist, School
Enumeration Date2018-03-08
Last Update Date2018-03-08
Business Address
STEPHEN DALE FANNIN Ed.S.
2801 TURNPIKE RD
PORTSMOUTH, VA 23707-4630
Phone number: 757-393-8766
Mailing Address
STEPHEN DALE FANNIN Ed.S.
325 COLONY RD
NEWPORT NEWS, VA 23602-6342
Phone number: 757-877-3132
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