Individual
AMANDA HAGEDORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD, CLC
Contact information
Practice address
9511 HALE DR, SAINT LOUIS, MO 63123-5507
(314) 805-3173
Mailing address
9511 HALE DR, SAINT LOUIS, MO 63123-5507
(314) 805-3173
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86038663
MO
Other
Enumeration date
02/09/2024
Last updated
02/09/2024
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