Individual
ALEXANDRIA MIA HAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CF-SLP
Contact information
Practice address
9047 W GREENFIELD AVE, MILWAUKEE, WI 53214-2800
(414) 453-9290
Mailing address
626 E STATE ST APT 1704, MILWAUKEE, WI 53202-3252
(262) 515-6541
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/10/2019
Last updated
06/10/2019
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