Individual
IAN K. HAGEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
1901 MARTIN LUTHER KING JR WAY S, SEATTLE, WA 98144-4801
(206) 322-7676
Mailing address
1136 13TH AVE APT 108, SEATTLE, WA 98122-4405
(206) 445-2143
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SA60977729
WA
Other
Enumeration date
02/06/2019
Last updated
03/04/2020
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