Individual
KAITLYN M FAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
200 RETREAT AVE, HARTFORD HOSPITAL PSYCHIATRY DEPT, HARTFORD, CT 06106
(860) 545-7229
Mailing address
200 RETREAT AVE, HARTFORD HOSPITAL PSYCHIATRY DEPT, HARTFORD, CT 06106-3309
(860) 545-7229
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10225
CT
Other
Enumeration date
09/24/2009
Last updated
07/13/2018
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