Janet M Fagan, LCSW
Social Worker, Clinical in San Diego, CA. Individual provider (NPI-1).
NPI number1073537726
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1073537726
- Entity type
- Individual (NPI-1)
- Name
- Ms. Janet M Fagan
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 26, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | LCS14304 | CA | Yes |
Practice location
Va San Diego 3350 La Jolla Village DriveSocial Work Service
San Diego, CA 92010
Phone 858-642-3597 · Fax 858-552-7455
Mailing address
2503 Via RojoCarlsbad, CA 92010-1376
Phone 760-333-1182
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