Individual
SUSAN G. FAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1555 CONNECTICUT AVE NW STE 401, WASHINGTON, DC 20036-1124
(202) 441-7240
Mailing address
1882 COLUMBIA RD NW APT 202, WASHINGTON, DC 20009-5137
(202) 483-8148
(301) 927-8052
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
05362
MD
1041C0700X
Clinical Social Worker
Primary
LC50078121
DC
Other
Enumeration date
03/08/2007
Last updated
07/09/2007
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