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1023568961
TERESE FAGAN
WEST HARTFORD, CT
NPI
1023568961
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CT 008738)
Enumeration Date
2016-10-04
Last Update Date
2016-10-04
Business Address
-- TERESE FAGAN LCSW
45 S MAIN ST SUITE 107
WEST HARTFORD, CT 06107-2441
Phone number: 860-778-3304
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Mailing Address
-- TERESE FAGAN LCSW
1131 TOLLAND TPKE UNIT 258
MANCHESTER, CT 06042-1679
Phone number: 860-778-3304
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