MS. Sara Kate Fagan

NPI #1790154763 in Montclair, New Jersey

Provider Information

NPI Number: 1790154763
Entity Type: Individual
Name: MS. Sara Kate Fagan
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Enumeration Date: Sep 21, 2015
Last Updated: Sep 21, 2015

Practice Location

Address: 60 S FULLERTON AVE STE 210
City: Montclair
State: New Jersey
ZIP Code: 07042-2663
Phone: (973) 744-6522

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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