Individual
MRS. BETTY HAGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SPEECH THERAPY
Contact information
Practice address
1609 UNIVERSITY AVE, HOT SPRINGS, SD 57747-2126
(605) 745-4145
Mailing address
4349 DUCKHORN ST, RAPID CITY, SD 57703-6504
(605) 393-5150
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
393-LIMITED
SD
Other
Enumeration date
07/27/2016
Last updated
07/27/2016
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