Jordan Fagan
NPI #1093440786 in Wilmington, North Carolina
Provider Information
- NPI Number
- 1093440786
- Entity Type
- Individual
- Name
- Jordan Fagan
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Jul 18, 2022
- Last Updated
- Jul 18, 2022
Practice Location
- Address
- 5027 WRIGHTSVILLE AVE
- City
- Wilmington
- State
- North Carolina
- ZIP Code
- 28403-7046
- Phone
- (910) 444-8007
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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