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Contact Information

BRITTANY FAGAN, LCSW
3754 LAVISTA RD STE 200
TUCKER, GA30084
 Phone: 404-490-0081
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for BRITTANY FAGAN · (Female)

NPI Number 1144643727
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 02/01/2014
Last updated 07/11/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • GA License # CSW005687
  • GA License # MSW005840
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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