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Individual
OHNA FAGAN
Active
Individual
OHNA FAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LCADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00319500
NJ
1041C0700X
Clinical Social Worker
Primary
44SC06061100
NJ
1041C0700X
Clinical Social Worker
SW24702
FL
Other
Enumeration date
02/13/2022
Last updated
04/11/2026
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