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1154754943
ALYSSA L FAGAN-CLARK
PHOENIX, AZ
NPI
1154754943
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: AZ LCSW-21945)
Enumeration Date
2013-08-15
Last Update Date
2023-12-27
Business Address
ALYSSA L FAGAN-CLARK LCSW
20440 N 27TH AVE
PHOENIX, AZ 85027-3240
Phone number: 480-882-4545
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Mailing Address
ALYSSA L FAGAN-CLARK LCSW
7500 N DREAMY DRAW DR STE 145
PHOENIX, AZ 85020-4668
Phone number: 480-886-2454
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