Individual
RUTH MACPHIE HAGEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
100 UNIVERSITY PKWY, MACON, GA 31206
(478) 471-2985
Mailing address
940 A GA HWY 96, WARNER ROBINS, GA 31088
(478) 988-1222
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
004779
GA
101YM0800X
Mental Health Counselor
004779
GA
Other
Enumeration date
02/20/2006
Last updated
05/17/2018
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