Stephanie A Fagan, LICSW

NPI #1679839997 in Dayville, Connecticut

Provider Information

NPI Number: 1679839997
Entity Type: Individual
Name: Stephanie A Fagan, LICSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LICSW
Enumeration Date: Apr 11, 2012
Last Updated: Jun 8, 2017

Practice Location

Address: 1006 N MAIN STREET
City: Dayville
State: Connecticut
ZIP Code: 06241-2170
Phone: (860) 774-2020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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