Individual
JULIA FAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1441 KAPIOLANI BLVD, SUITE 1600, HONOLULU, HI 96814-4402
(808) 432-7639
Mailing address
3060 ARBODAR RD, SAN DIEGO, CA 92154-4260
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-4049
HI
Other
Enumeration date
08/19/2015
Last updated
10/04/2016
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