CARRIE FAGAN

PLAINVIEW, NY
NPI1669856274
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: NY  944199151)
Enumeration Date2015-07-13
Last Update Date2015-07-13
Business Address
-- CARRIE FAGAN
255 EXECUTIVE DR SUITE LL108
PLAINVIEW, NY 11803-1718
Phone number: 516-576-2040
Mailing Address
-- CARRIE FAGAN
2436 6TH AVE
EAST MEADOW, NY 11554-3235
Phone number: 516-647-5280
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