Individual
MR. MICHAEL SEAN FAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
448 36TH AVE NW STE 101, NORMAN, OK 73072-4743
(405) 573-9905
Mailing address
448 36TH AVE NW STE 101, NORMAN, OK 73072-4743
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
06990
OK
Other
Enumeration date
11/01/2010
Last updated
10/06/2023
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