MIRIAM FAGAN

SAN RAFAEL, CA
NPI1487283685
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: CA  31718)
Enumeration Date2020-04-08
Last Update Date2024-04-02
Business Address
Dr. MIRIAM FAGAN PSYD
111 SMITH RANCH RD
SAN RAFAEL, CA 94903-1939
Phone number: 415-491-3003
Mailing Address
Dr. MIRIAM FAGAN PSYD
775 E BLITHEDALE AVE # 141
MILL VALLEY, CA 94941-1554
Phone number: 415-569-5113
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