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Individual
ANNABELLA ZAMARA HAGEN
Active
Individual
ANNABELLA ZAMARA HAGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
47266403501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4726640-3501
LICENSED CLINICAL SOCIAL WORKER - LICENSED NUMBER
UT
Enumeration date
09/06/2006
Last updated
04/07/2012
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