Individual
MRS. JESSICA DAWN HAGERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
2222 COLONIAL RD, FORT PIERCE, FL 34950-5309
(772) 559-4433
(772) 299-3757
Mailing address
355 9TH PL, VERO BEACH, FL 32960-6819
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1047351125
—
FL
Enumeration date
03/26/2018
Last updated
11/23/2020
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