Caala Marie Fagan, ECTD, MHPP
NPI #1225349913 in Blytheville, Arkansas
Provider Information
- NPI Number
- 1225349913
- Entity Type
- Individual
- Name
- Caala Marie Fagan, ECTD, MHPP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Case Manager/Care Coordinator
- Credential
- ECTD, MHPP
- Enumeration Date
- Jun 28, 2010
- Last Updated
- Jun 28, 2010
Practice Location
- Address
- 1510 BYRUM RD
- City
- Blytheville
- State
- Arkansas
- ZIP Code
- 72315-8033
- Phone
- (870) 532-2609
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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