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1548335292
CANDICE D. FAGAN
ENCINITAS, CA
NPI
1548335292
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 4146)
Enumeration Date
2006-11-21
Last Update Date
2007-07-08
Business Address
Mrs. CANDICE D. FAGAN LCSW
317 N EL CAMINO REAL STE 305
ENCINITAS, CA 92024-2814
Phone number: 760-436-1797
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Mailing Address
Mrs. CANDICE D. FAGAN LCSW
317 N EL CAMINO REAL STE 305
ENCINITAS, CA 92024-2814
Phone number: 760-436-1797
Copy
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