SUSAN MARIE FAGAN

SAINT LOUIS, MO
NPI1043468556
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: MO  2004032923)
Enumeration Date2008-09-09
Last Update Date2008-10-20
Business Address
Mrs. SUSAN MARIE FAGAN L.P.C., R.N.
12125 WOODCREST EXECUTIVE DR SUITE 110
SAINT LOUIS, MO 63141-5001
Phone number: 314-275-8599
Mailing Address
Mrs. SUSAN MARIE FAGAN L.P.C., R.N.
10820 SUNSET OFFICE DR SUITE 122
SAINT LOUIS, MO 63127-1016
Phone number: 314-954-6553
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