Fanning, Dorene

Fanning, Dorene is an individual health care provider with primary practice located at 2051 John Jones Rd , Davis CA 95616-9701. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Fanning, Dorene can be contacted via phone (530) 753-3498.

Contact Information

Primary practice address
2051 John Jones Rd Davis CA 95616-9701
Phone: (530) 753-3498
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCS29760 California

Profile Details

NPI number 1831523711
LBN Legal business name Fanning, Dorene
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 27th, 2013
Last updated Aug 27th, 2013 - about 13 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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