NICOLE FAGAN

POUGHKEEPSIE, NY
NPI1164793196
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NY  077038-1)
Enumeration Date2012-01-23
Last Update Date2012-01-23
Business Address
-- NICOLE FAGAN LCSW
2096 NEW HACKENSACK RD
POUGHKEEPSIE, NY 12603-4856
Phone number: 845-518-2558
Mailing Address
-- NICOLE FAGAN LCSW
2096 NEW HACKENSACK RD
POUGHKEEPSIE, NY 12603-4856
Phone number: 845-518-2558