Individual
JULIA H. HAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
222 ST JOHN ST SUITE 314, PORTLAND, ME 04101-2623
(508) 314-3084
(207) 874-1044
Mailing address
222 SAINT JOHN ST STE 314, PORTLAND, ME 04102-3059
(508) 314-3084
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC14623
ME
Other
Enumeration date
09/04/2013
Last updated
09/22/2015
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