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1831423805
KAITLYN M FAGAN
HARTFORD, CT
NPI
1831423805
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Former Name
KAITLYN M JANICKI
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: CT 10225)
Enumeration Date
2009-09-24
Last Update Date
2018-07-13
Business Address
KAITLYN M FAGAN LCSW
200 RETREAT AVE HARTFORD HOSPITAL PSYCHIATRY DEPT
HARTFORD, CT 06106
Phone number: 860-545-7229
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Mailing Address
KAITLYN M FAGAN LCSW
200 RETREAT AVE HARTFORD HOSPITAL PSYCHIATRY DEPT
HARTFORD, CT 06106-3309
Phone number: 860-545-7229
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