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Organization

KELI HAGEN LISW, PLLC

Active
Other names
Keli Hagen Sole MBR
Organization subpart
No

Provider details

NPI number
Authorized official
KELI B HAGEN LISW (SOLE MEMBER)
(319) 213-2922
Entity
Organization

Contact information

Practice address
4403 1ST AVE SE STE 412, CEDAR RAPIDS, IA 52402-3221
(319) 213-2922
Mailing address
4403 1ST AVE SE STE 412, CEDAR RAPIDS, IA 52402-3221
(319) 213-2922

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
08/19/2020
Last updated
08/19/2020
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