KATHARINE FAGAN-NELSON

BLOOMINGTON, IL
NPI1578953915
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149009316)
Enumeration Date2015-01-23
Last Update Date2015-01-23
Business Address
-- KATHARINE FAGAN-NELSON LCSW
1003 MARTIN LUTHER KING DR
BLOOMINGTON, IL 61701-1429
Phone number: 309-827-7267
Mailing Address
-- KATHARINE FAGAN-NELSON LCSW
1405 HOVEY AVE
NORMAL, IL 61761-3324
Phone number: 309-826-3566
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