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Individual
DEBORAH HAGAN
Active
Individual
DEBORAH HAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW-CP
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8623
SC
1041C0700X
Clinical Social Worker
C005113
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SW1601
—
SC
Enumeration date
06/14/2006
Last updated
03/02/2020
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