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1124229158
CAROLYN JEAN FAGNAN
BUFFALO, NY
NPI
1124229158
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCSW25492)
Enumeration Date
2007-05-29
Last Update Date
2023-12-12
Business Address
CAROLYN JEAN FAGNAN LCSW
3495 BAILEY AVE
BUFFALO, NY 14215-1129
Phone number: 716-392-1910
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Mailing Address
CAROLYN JEAN FAGNAN LCSW
3495 BAILEY AVE
BUFFALO, NY 14215-1129
Phone number: 716-392-1910
Copy
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