Sara Kate Fagan
Social Worker in Montclair, NJ. Individual provider (NPI-1).
NPI number1790154763
StatusActive
Last updated in NPPESSep 21, 2015
Details
- NPI
- 1790154763
- Entity type
- Individual (NPI-1)
- Name
- Ms. Sara Kate Fagan
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 21, 2015
- Last updated
- Sep 21, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | 44SL05819200 | NJ | Yes |
Practice location
60 S Fullerton Ave Ste 210Montclair, NJ 07042-2663
Phone 973-744-6522
Mailing address
60 S Fullerton Ave Ste 210Montclair, NJ 07042-2663
Phone 973-744-6522
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All 58 Social Worker providers in Montclair · All 1,965 providers in Montclair
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