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1093440786
JORDAN FAGAN
WILMINGTON, NC
NPI
1093440786
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2022-07-18
Last Update Date
2022-07-18
Business Address
JORDAN FAGAN
5027 WRIGHTSVILLE AVE
WILMINGTON, NC 28403-7046
Phone number: 910-444-8007
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Mailing Address
JORDAN FAGAN
5027 WRIGHTSVILLE AVE
WILMINGTON, NC 28403-7046
Phone number:
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