Individual
TAMARA B FAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMSW
Contact information
Practice address
309 E MAIN ST, PICKENS, SC 29671-2319
(864) 898-5800
(864) 898-5804
Mailing address
309 E MAIN ST, PICKENS, SC 29671-2319
(864) 898-5800
(864) 898-5804
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11507
SC
Other
Enumeration date
01/03/2018
Last updated
01/03/2018
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