Individual
MRS. ANGELA HAGEDORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS-CCC-SLP
Contact information
Practice address
401 W PETTIS ST, GREEN RIDGE, MO 65332-1160
(660) 527-3315
Mailing address
401 W PETTIS ST, GREEN RIDGE, MO 65332-1160
(660) 527-3315
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2001010226
MO
Other
Enumeration date
10/31/2018
Last updated
10/31/2018
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