Individual
IRINA KAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
108 SHANNON DR, ALLEN, TX 75002-4642
(972) 345-1778
(214) 820-7788
Mailing address
108 SHANNON DR, ALLEN, TX 75002-4642
(972) 345-1778
(214) 820-7788
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
35808
TX
Other
Enumeration date
04/14/2011
Last updated
04/14/2011
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