LAURIE LEE FAGAN

PORT HURON, MI
NPI1285742627
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
(Licence: MI  6802012074)
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MI  1-01753)
Enumeration Date2006-08-27
Last Update Date2007-07-08
Business Address
-- LAURIE LEE FAGAN lbsw
2601 13TH ST
PORT HURON, MI 48060-6546
Phone number: 810-987-9100
Mailing Address
-- LAURIE LEE FAGAN lbsw
3405 CRANBERRY DR
CLYDE, MI 48049-4403
Phone number: 810-984-2491