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1922421791
LAURA FANNING
RIVERHEAD, NY
NPI
1922421791
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 090447)
Enumeration Date
2014-01-29
Last Update Date
2019-03-26
Business Address
LAURA FANNING LCSW
21 E 2ND ST STE 102
RIVERHEAD, NY 11901-4686
Phone number: 631-682-7495
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Mailing Address
LAURA FANNING LCSW
21 E 2ND ST STE 102
RIVERHEAD, NY 11901-4686
Phone number: 631-682-7495
Copy
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