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1831523711
DORENE FANNING
DAVIS, CA
NPI
1831523711
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS29760)
Enumeration Date
2013-08-27
Last Update Date
2013-08-27
Business Address
-- DORENE FANNING LCSW
2051 JOHN JONES RD
DAVIS, CA 95616-9701
Phone number: 530-753-3498
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Mailing Address
-- DORENE FANNING LCSW
PO BOX 1260
DAVIS, CA 95617-1260
Phone number:
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