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1720859465
EMILY FAGRE
FAIRFAX, VA
NPI
1720859465
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Former Name
EMILY BERGMAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VA 0904012768)
Enumeration Date
2024-01-11
Last Update Date
2024-01-11
Business Address
EMILY FAGRE LCSW
3172 CANTRELL LN
FAIRFAX, VA 22031-1909
Phone number: 630-908-0051
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Mailing Address
EMILY FAGRE LCSW
3172 CANTRELL LN
FAIRFAX, VA 22031-1909
Phone number: 630-908-0051
Copy
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