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Individual

CAITLIN ALEXANDRA FAGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S., CCC-SLP, TSSLD

Contact information

Practice address
134 W 26TH ST RM 603, NEW YORK, NY 10001-6803
(212) 604-9360
Mailing address
134 W 26TH ST RM 603, NEW YORK, NY 10001-6803

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
032095-01
NY

Other

Enumeration date
09/30/2022
Last updated
09/30/2022
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