Individual
MS. LEIGH ANNE FAGIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
7125 UNIVERSITY CT, MONTGOMERY, AL 36117-8016
(334) 239-2622
Mailing address
7125 UNIVERSITY CT, MONTGOMERY, AL 36117-8016
(334) 239-2622
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4365C
AL
Other
Enumeration date
10/07/2019
Last updated
10/07/2019
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