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Organization
SUSAN FAGAN, LCSW LLC
Active
Organization
SUSAN FAGAN, LCSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN FAGAN LCSW (LCSW)
(203) 284-3467
Entity
Organization
Contact information
Practice address
185 CENTER ST, WALLINGFORD, CT 06492-4100
(203) 284-3467
Mailing address
89 S RIDGELAND RD, WALLINGFORD, CT 06492-2921
(203) 284-3467
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
006222
CT
Other
Enumeration date
09/26/2007
Last updated
09/26/2007
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