Individual
ELIZABETH FAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
13123 E 16TH AVE, AURORA, CO 80045-7106
(720) 777-4625
Mailing address
1655 S EMERSON ST, DENVER, CO 80210-2729
(858) 220-2947
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
448
CO
Other
Enumeration date
04/21/2010
Last updated
01/13/2017
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