SUSAN MICHELLE FAGAN

WALLINGFORD, CT
NPI1851594899
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CT  006222)
Enumeration Date2007-06-07
Last Update Date2007-07-08
Business Address
Mrs. SUSAN MICHELLE FAGAN LCSW
185 CENTER STREET SUITE B
WALLINGFORD, CT 06492
Phone number: 203-284-3467
Mailing Address
Mrs. SUSAN MICHELLE FAGAN LCSW
89 S RIDGELAND RD
WALLINGFORD, CT 06492-2921
Phone number: 203-265-9998
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