Individual
MARYA O HAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9400 GOLDEN VALLEY RD, GOLDEN VALLEY, MN 55427-4318
(763) 450-5061
Mailing address
831 W RIVER PKWY, CHAMPLIN, MN 55316-1035
(763) 427-1940
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP2516
MN
Other
Enumeration date
05/07/2007
Last updated
07/08/2007
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