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1114606639
CASEY FAGAN
SALT LAKE CITY, UT
NPI
1114606639
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: UT 13408629-3502)
Enumeration Date
2023-07-12
Last Update Date
2023-07-12
Business Address
CASEY FAGAN CSW
525 S 500 W STE 150
SALT LAKE CITY, UT 84101-2297
Phone number: 801-359-2256
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Mailing Address
CASEY FAGAN CSW
525 S 500 W STE 150
SALT LAKE CITY, UT 84101-2297
Phone number: 801-359-2256
Copy
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