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1104511104
FAGAN PSYCHOTHERAPY PLLC
EVANSTON, IL
NPI
1104511104
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Entity Type
Organization
Authorized Contact
BRIAN FAGAN
Owner
312-385-9620
Organization Subpart ?
No
Primary Taxonomy
251S00000X
Enumeration Date
2023-04-06
Last Update Date
2023-04-06
Business Address
FAGAN PSYCHOTHERAPY PLLC
2605 PRAIRIE AVE APT 18
EVANSTON, IL 60201-1496
Phone number: 312-385-9620
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Mailing Address
FAGAN PSYCHOTHERAPY PLLC
2605 PRAIRIE AVE APT 18
EVANSTON, IL 60201-1496
Phone number: 312-385-9620
Copy
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