KEVIN CHARLES FAGAN

WARWICK, RI
NPI1396891719
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: RI  ISW01620)
Enumeration Date2007-01-26
Last Update Date2011-06-22
Business Address
Mr. KEVIN CHARLES FAGAN LICSW
931 JEFFERSON BLVD. SUITE 2009
WARWICK, RI 02886
Phone number: 401-921-5400
Mailing Address
Mr. KEVIN CHARLES FAGAN LICSW
931 JEFFERSON BLVD. SUITE 2009
WARWICK, RI 02886
Phone number: 401-921-5400
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