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1942378062
CHRISTINA MARIE FAGAN
SAINT LOUIS, MO
NPI
1942378062
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MO 000707)
Enumeration Date
2006-11-30
Last Update Date
2007-07-08
Business Address
-- CHRISTINA MARIE FAGAN MSW,LCSW
1 JEFFERSON BARRACKS RD
SAINT LOUIS, MO 63125-4181
Phone number: 314-652-4100
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Mailing Address
-- CHRISTINA MARIE FAGAN MSW,LCSW
13 PLEASANT VALLEY DR
SWANSEA, IL 62226-1105
Phone number: 314-283-1378
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