Individual
MS. JAMIE LYNN HAGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
402 15TH AVE SE, SUITE 100, PUYALLUP, WA 98372-3709
(253) 697-5200
Mailing address
402 15TH AVE SE, SUITE 100, PUYALLUP, WA 98372-3709
(253) 697-5200
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
16624
CA
235Z00000X
Speech-Language Pathologist
Primary
LL60225317
WA
Other
Enumeration date
12/18/2008
Last updated
08/16/2011
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