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1053345553
CLIFFORD RAYMOND FAGAN
IRVING, TX
NPI
1053345553
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TX 31107)
Enumeration Date
2006-07-10
Last Update Date
2017-02-10
Business Address
Mr. CLIFFORD RAYMOND FAGAN LCSW CCM
800 W AIRPORT FWY STE 1100
IRVING, TX 75062-6312
Phone number: 214-704-5879
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Mailing Address
Mr. CLIFFORD RAYMOND FAGAN LCSW CCM
800 W AIRPORT FWY STE 1100
IRVING, TX 75062-6312
Phone number: 214-704-5879
Copy
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