Fannin, Maureen

Fannin, Maureen is an individual health care provider with primary practice located at 9218 Centreville Rd , Manassas VA 20110-5131. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Fannin, Maureen can be contacted via phone (703) 626-0381.

Contact Information

Primary practice address
9218 Centreville Rd Manassas VA 20110-5131
Phone: (703) 626-0381
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0904004708 Virginia

Profile Details

NPI number 1689627101
LBN Legal business name Fannin, Maureen
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Nov 26th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689627101 NPPES
Virginia MEDICAID 10141788

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