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1649725680
CHARITY FANNIN
LOUISA, KY
NPI
1649725680
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: KY 253260)
Enumeration Date
2016-08-19
Last Update Date
2024-08-30
Business Address
CHARITY FANNIN LCSW
60 PROFESSIONAL PARK DR
LOUISA, KY 41230-9644
Phone number: 606-638-4332
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Mailing Address
CHARITY FANNIN LCSW
PO BOX 790
ASHLAND, KY 41105-0790
Phone number: 606-329-8588
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