TARA FAGAN, SLP
Speech Language Pathology at Majestic View Ln, Orange Park, FL

License number
Florida SA6601
Category
Speech Language Pathology
Type
Speech-Language Pathologist
Address
Address
1639 Majestic View Ln, Orange Park, FL 32003
Phone
(904) 635-4143
National Provider ID: 1164506192
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about TARA FAGAN at bizstanding.com

TARA FAGAN, PA

1639 Majestic Vw Ln, Orange Park, FL 32003

Registration:
Jun 9, 2009
State ID:
P09000050086
Business type:
Florida Profit Corporation
President, Treasurer, Secretary:
Tara Fagan (President, Treasurer, Secretary), 1639 Majestic Vw Ln, Orange Park, FL 32003 (Physical)
Agent:
Fagan, Tara,1639 Majestic Vw Ln, Orange Park, FL 32003 (Physical)
EIN:
27-0327690

Professional information

Tara Fagan Photo 1

Tara Fagan, Fleming Island FL - SLP
Specialties:
Speech-Language Pathology
Address:
1639 Majestic View Ln, Fleming Island 32003
Languages:
English

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