Iris Ellen Fanning
Iris Ellen Fanning is a Clinical Social Worker in Rockford, Illinois. Licensed in Illinois. Registered with an NPI since 2026.
- Licensed in
- IL
- In the registry since
- 2026
Practice location Address checks out
6653 Weaver Rd Ste 106Rockford, IL 61114-8068
Phone: (815) 599-7301
Fax: (779) 235-9660
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Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence 150.131791 (IL) |
|---|
Record details
| NPI number | 1194638668 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | September 25, 2026 |
| Last updated in NPPES | September 25, 2026 |
| Certification date | September 25, 2026 |
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