MR. Clifford Raymond Fagan, LCSW CCM

NPI #1053345553 in Irving, Texas

Provider Information

NPI Number
1053345553
Entity Type
Individual
Name
MR. Clifford Raymond Fagan, LCSW CCM
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LCSW CCM
Enumeration Date
Jul 10, 2006
Last Updated
Feb 10, 2017

Practice Location

Address
800 W AIRPORT FWY
Address 2
STE 1100
City
Irving
State
Texas
ZIP Code
75062-6312
Phone
(214) 704-5879

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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