Individual
EMILY HAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1000 15TH ST SW, AUSTIN, MN 55912
(507) 440-8548
Mailing address
1000 15TH ST SW, AUSTIN, MN 55912
(507) 440-8548
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
24481
MN
Other
Enumeration date
05/08/2023
Last updated
05/08/2023
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