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1164793196
NICOLE FAGAN
POUGHKEEPSIE, NY
NPI
1164793196
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 077038-1)
Enumeration Date
2012-01-23
Last Update Date
2012-01-23
Business Address
-- NICOLE FAGAN LCSW
2096 NEW HACKENSACK RD
POUGHKEEPSIE, NY 12603-4856
Phone number: 845-518-2558
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Mailing Address
-- NICOLE FAGAN LCSW
2096 NEW HACKENSACK RD
POUGHKEEPSIE, NY 12603-4856
Phone number: 845-518-2558
Copy
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