Individual
MRS. CYNTHIA MAY FAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
6439 GARNERS FERRY RD, COLUMBIA, SC 29209-1638
(803) 695-7968
Mailing address
2615 CIRCLEVIEW DR, SUMTER, SC 29154-4651
(803) 469-3879
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
4929
SC
Other
Enumeration date
09/25/2006
Last updated
07/08/2007
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