Terese Fagan's National Provider Identifier (NPI) Details
Terese Fagan, LCSW
NPI: 1023568961
Enumeration Date: 2016-10-04
Last updated: 2016-10-04
Sole Proprietor: YES
Status: active
Postal Address: 1131 TOLLAND TPKE UNIT 258, MANCHESTER, CT
Phone: 860-778-3304
Primary Practice Address: 45 S MAIN ST, SUITE 107, WEST HARTFORD, CT
Practice's phone: 860-778-3304