Individual
JENNIFER HAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
117 STEVE ST, DUNCANSVILLE, PA 16635-5107
(814) 316-1346
Mailing address
117 STEVE ST, DUNCANSVILLE, PA 16635-5107
(814) 316-1346
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL012286
PA
Other
Enumeration date
01/29/2015
Last updated
01/29/2015
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