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Individual

DEBORAH HAGEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LADC

Contact information

Practice address
2601 ABBEY HILL DR, MINNETONKA, MN 55305-2333
(952) 666-5910
(952) 456-8783
Mailing address
2601 ABBEY HILL DR, MINNETONKA, MN 55305-2333
(952) 666-5910
(952) 456-8783

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
302489
MN

Other

Enumeration date
04/06/2016
Last updated
04/06/2016
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