Individual
CHARLOTTE A HAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
414 S UNIVERSITY RD, SPOKANE VALLEY, WA 99206-5555
(509) 924-4650
(509) 228-0851
Mailing address
2018 W RIVERSIDE AVE, APT. A, SPOKANE, WA 99201-1411
(509) 624-0528
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00003981
WA
235Z00000X
Speech-Language Pathologist
SLP-1108
ID
Other
Enumeration date
06/29/2007
Last updated
07/08/2007
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