Edward Fagan
NPI #1851857841 in Willoughby, Ohio
Provider Information
- NPI Number
- 1851857841
- Entity Type
- Individual
- Name
- Edward Fagan
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Feb 14, 2019
- Last Updated
- Feb 14, 2019
Practice Location
- Address
- 38882 MENTOR AVE
- City
- Willoughby
- State
- Ohio
- ZIP Code
- 44094-7875
- Phone
- (440) 953-9999
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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