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1417558065
ELIZABETH FAGAN
NEW YORK, NY
NPI
1417558065
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY R038388)
Enumeration Date
2020-11-02
Last Update Date
2020-11-02
Business Address
ELIZABETH FAGAN LCSW
108 E 91ST ST APT 4C
NEW YORK, NY 10128-1659
Phone number: 917-208-3907
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Mailing Address
ELIZABETH FAGAN LCSW
108 E 91ST ST APT 4C
NEW YORK, NY 10128-1659
Phone number: 917-208-3907
Copy
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