Suzette M Fagan, LCSW Valid NPI

Individual provider · Clinical Social Worker · Franklin Park, NJ

NPI

1679879308

Type

Individual (Type 1)

Primary specialty

Clinical Social Worker (Social Worker)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

1041C0700X

License number

44SC05437500 (NJ)

Sex

Female

Sole proprietor

Yes

Enumerated

2011-01-27

Last updated

2011-01-27