SUSAN M FAGAN (Credential# 784378) is licensed (Licensed Clinical Social Worker) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2020. The license expiration date date is July 31, 2021. The license status is ACTIVE.
SUSAN M FAGAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #58.006222. The credential type is licensed clinical social worker. The effective date is August 1, 2020. The expiration date is July 31, 2021. The business address is 89 South Ridgeland Road, Wallingford, CT 06492. The current status is active.
| Licensee Name | SUSAN M FAGAN |
| Credential ID | 784378 |
| Credential Number | 58.006222 |
| Credential Type | Licensed Clinical Social Worker |
| Business Address |
89 South Ridgeland Road Wallingford CT 06492 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2006-07-03 |
| Effective Date | 2020-08-01 |
| Expiration Date | 2021-07-31 |
| Refresh Date | 2020-06-01 |
| Street Address | 89 South Ridgeland Road |
| City | Wallingford |
| State | CT |
| Zip Code | 06492 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Andrea Zola | 53 Alison Ave., Wallingford, CT 06492 | Esthetician | ~ |
| Kyungok Choi | 90 Ward St, Wallingford, CT 06492 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Giang Nguyen | 45 Country Club Lane, Wallingford, CT 06492 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2021-11-30 |
| Lc Artistry | 207 North Colony Road, Wallingford, CT 06492 | Esthetician | ~ |
| Katie Lee | 20 Angela Dr, Wallingford, CT 06492 | Paramedic | 2020-09-01 ~ 2021-08-31 |
| Vinny's Deli | 567 Center St, Wallingford, CT 06492 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Michele Ruggiero | 26 Leigus Road, Wallingford, CT 06492 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Dianna K Ball | 104 Simpson Ave, Wallingford, CT 06492 | Speech and Language Pathologist | 2020-08-01 ~ 2021-07-31 |
| Ann Marie Richardson | 20 Mohawk Drive, Wallingford, CT 06492 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Joann Hummel | 60 Deer Run Road, Wallingford, CT 06492 | Medication Administration Certification | 2018-08-21 ~ 2020-08-20 |
| Find all Licenses in zip 06492 | |||
| City | Wallingford |
| Zip Code | 06492 |
| License Type | Licensed Clinical Social Worker |
| License Type + County | Licensed Clinical Social Worker + Wallingford |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alicia M Fagan | 51 N Main St Ste 3d, Southington, CT 06489-2515 | Licensed Clinical Social Worker | 2020-02-01 ~ 2021-01-31 |
| John L Fagan | 155 Ciderbrook Dr, Wethersfield, CT 06109 | Licensed Clinical Social Worker | 2002-06-04 ~ 2003-06-30 |
| Terese G Fagan | 26 Bent Rd, Windsor, CT 06095-1631 | Licensed Clinical Social Worker | 2020-05-01 ~ 2021-04-30 |
| Elaine E Fagan | 720 East Broadway, Stratford, CT 06615 | Licensed Clinical Social Worker | 2004-03-09 ~ 2005-04-30 |
| Stephanie Fagan | 4115 Wisconsin Ave Nw Apt 501, Washington, DC 20016-2852 | Licensed Clinical Social Worker | 2017-07-01 ~ 2018-06-30 |
| Kaitlyn M Fagan | 204 Margaret Drive, South Windsor, CT 06074 | Licensed Clinical Social Worker | 2020-08-01 ~ 2021-07-31 |
| Susan A Desousa | 25 Wadsworth St, Manchester, CT 06040-4225 | Licensed Clinical Social Worker | ~ |
| Susan M Gubilee | 11 Russell Ave, Portland, CT 06480-1433 | Licensed Clinical Social Worker | ~ |
| Susan G Weegar | Rr #2, Wellfleet, MA 02667 | Licensed Clinical Social Worker | ~ 1995-03-31 |
| Susan B Scher | Box 228, Tuxedo, NY 10987 | Licensed Clinical Social Worker | ~ 1995-10-31 |
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| Data Provider | Connecticut Department of Consumer Protection |
| Jurisdiction | Connecticut |
| Related Datasets | Connecticut Business Registrations, Connecticut Child Care Facilities |
This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).