FANTA BA

DOVER, DE
NPI1477279990
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: DE  Q1-0012719)
Enumeration Date2022-10-17
Last Update Date2025-07-10
Business Address
FANTA BA
156 S STATE ST
DOVER, DE 19901-7314
Phone number: 703-347-1789
Mailing Address
FANTA BA
156 S STATE ST
DOVER, DE 19901-7314
Phone number: 703-347-1789
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