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Individual

GAIL L HAGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1001-D BROADWAY, FARMINGTON, NM 97401
(505) 325-0238
Mailing address
PO BOX 131, AZTEC, NM 87410-0131

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1215
NM
104100000X
Social Worker
Primary
M-1833
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
87384043
NM
Enumeration date
08/09/2006
Last updated
09/11/2025
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