| Susan Fagan, Lcsw Llc | |
|
185 Center St Wallingford CT 06492-4100 | |
| (203) 284-3467 | |
| Not Available |
| Full Name | Susan Fagan, Lcsw Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 185 Center St, Wallingford, Connecticut |
| Authorized Official Name and Position | Susan Fagan (LCSW) |
| Authorized Official Contact | 2032843467 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Fagan, Lcsw Llc 89 S Ridgeland Rd Wallingford CT 06492-2921 Ph: (203) 284-3467 | Susan Fagan, Lcsw Llc 185 Center St Wallingford CT 06492-4100 Ph: (203) 284-3467 |
| NPI Number | 1851588636 |
|---|---|
| Provider Enumeration Date | 09/26/2007 |
| Last Update Date | 09/26/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851588636 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 006222 (Connecticut) | Primary |
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