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Individual

MRS. CASIE MICHELLE HAGANS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1150 E MATTHEWS AVE STE 203, JONESBORO, AR 72401-4345
(870) 815-1234
(844) 232-7847
Mailing address
241 COUNTY ROAD 130, BONO, AR 72416-8283
(870) 815-1234
(844) 232-7847

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4161-C
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
171512795
AR
01
5FF19
BCBS
AR
Enumeration date
08/28/2008
Last updated
09/26/2022
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