Fagan, Renee

Fagan, Renee is an sole proprietor health care provider with primary practice located at 317 Godwin Ave , Midland Park NJ 07432-1519. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Fagan, Renee can be contacted via phone (201) 689-0500.

Contact Information

Primary practice address
317 Godwin Ave Midland Park NJ 07432-1519
Phone: (201) 689-0500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X SC07498 New Jersey

Profile Details

NPI number 1467471029
LBN Legal business name Fagan, Renee
Credentials MSW, LCSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 18th, 2006
Last updated Nov 17th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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