Individual
MRS. KELLY ANNE FAGAN-DYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
190 N MAIN ST, WASHINGTON, PA 15301-4349
(724) 223-7803
(724) 223-7804
Mailing address
760 SARA DR, WASHINGTON, PA 15301-2828
(724) 223-7803
(724) 223-7804
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
SW125236
PA
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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