Individual
CASEY FAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1875 S REDWOOD RD, SALT LAKE CITY, UT 84104-5112
(801) 363-9414
Mailing address
1875 S REDWOOD RD, SALT LAKE CITY, UT 84104-5112
(801) 363-9414
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
13408629-3501
UT
Other
Enumeration date
07/12/2023
Last updated
11/13/2025
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