Individual
NADINE HAGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
1 BURDICK EXPY W, MINOT, ND 58701-4406
(701) 857-5514
Mailing address
807 16TH AVE NW, TURTLE LAKE, ND 58575-9443
(701) 448-2140
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
01751T
IA
235Z00000X
Speech-Language Pathologist
Primary
1010
ND
235Z00000X
Speech-Language Pathologist
136
NE
Other
Enumeration date
04/02/2007
Last updated
02/17/2021
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