Kerry Fannin, CSW

NPI #1700277894 in Payson, Utah

Provider Information

NPI Number
1700277894
Entity Type
Individual
Name
Kerry Fannin, CSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
CSW
Enumeration Date
Feb 10, 2015
Last Updated
Feb 10, 2015

Practice Location

Address
4734 W 12400 S
City
Payson
State
Utah
ZIP Code
84651-9637
Phone
(661) 317-6067

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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