Individual
LINDSAY FAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
366 DORSET ST, SUITE 10, SOUTH BURLINGTON, VT 05403-4479
(802) 654-7607
(802) 654-9155
Mailing address
366 DORSET ST., SUITE 10, SOUTH BURLINGTON, VT 05403-4479
(802) 654-7607
(802) 654-9155
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004945182
—
VA
Enumeration date
09/22/2009
Last updated
04/29/2016
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