Individual
MADELINE MICHELLE HAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2012 E NIFONG BLVD, COLUMBIA, MO 65201-3874
(573) 449-1246
Mailing address
213 COLLEGE AVE, MOBERLY, MO 65270-1481
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
12/23/2018
Last updated
12/23/2018
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