Individual
STACEY JEAN HAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSWC
Contact information
Practice address
49 OLD SOLOMONS ISLAND RD, STE 303, ANNAPOLIS, MD 21401-3854
(410) 573-1944
(410) 573-1972
Mailing address
1509 RITCHIE HWY, STE F, ARNOLD, MD 21012-2742
(410) 757-2077
(410) 757-5184
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
08288
MD
Other
Enumeration date
11/09/2005
Last updated
07/18/2010
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