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Individual
MRS. RENEE FAGAN
Active
Individual
MRS. RENEE FAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SC07498
NJ
Other
Enumeration date
07/18/2006
Last updated
05/19/2025
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