JOSEPH MICHAEL FAGAN

PHOENIX, AZ
NPI1740773175
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
(Licence: AZ  LMSW-16158)
Enumeration Date2018-06-11
Last Update Date2018-06-11
Business Address
Mr. JOSEPH MICHAEL FAGAN LMSW
4424 E BASELINE RD APT 2067
PHOENIX, AZ 85042-7440
Phone number: 602-510-4662
Mailing Address
Mr. JOSEPH MICHAEL FAGAN LMSW
4424 E BASELINE RD APT 2067
PHOENIX, AZ 85042-7440
Phone number: 602-510-4662
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