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Individual
DEVON FAHEY
Active
Individual
DEVON FAHEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
257865
KY
1041C0700X
Clinical Social Worker
Primary
7520
KY
405300000X
Prevention Professional
7520
KY
Other
Enumeration date
05/17/2017
Last updated
07/05/2024
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