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1467471029
RENEE FAGAN
MIDLAND PARK, NJ
NPI
1467471029
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NJ SC07498)
Enumeration Date
2006-07-18
Last Update Date
2010-11-17
Business Address
Mrs. RENEE FAGAN MSW, LCSW
317 GODWIN AVE
MIDLAND PARK, NJ 07432-1519
Phone number: 201-689-0500
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Mailing Address
Mrs. RENEE FAGAN MSW, LCSW
317 GODWIN AVE
MIDLAND PARK, NJ 07432-1519
Phone number: 201-689-0500
Copy
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