Charles A Fanucchi, LSW
NPI #1346468964 in Kent, Washington
Provider Information
- NPI Number
- 1346468964
- Entity Type
- Individual
- Name
- Charles A Fanucchi, LSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- LSW
- Enumeration Date
- Apr 20, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 325 W GOWE ST
- City
- Kent
- State
- Washington
- ZIP Code
- 98032-5892
- Phone
- (253) 520-9350
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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