Individual
KATHY FAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
789 CENTRAL AVE, DOVER, NH 03820-2526
(603) 740-2128
Mailing address
789 CENTRAL AVE, DOVER, NH 03820-2526
(603) 740-2128
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0650
NH
Other
Enumeration date
11/14/2023
Last updated
11/14/2023
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