Individual
VICKIE LYNN MATTHIAS HAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., C.G.C.
Contact information
Practice address
7550 MARKET PLACE DR, EDEN PRAIRIE, MN 55344-3636
(952) 400-7784
Mailing address
7550 MARKET PLACE DR, EDEN PRAIRIE, MN 55344-3636
(952) 400-7784
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
—
—
Other
Enumeration date
08/05/2011
Last updated
08/05/2011
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