Individual
MRS. KATHY MARIE HAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1201 S PROCTOR ST, TACOMA, WA 98405-2047
(253) 396-5884
(253) 759-6009
Mailing address
737 FAWCETT AVE, TACOMA, WA 98402-5503
(253) 396-5800
(253) 759-6009
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW00004177
WA
Other
Enumeration date
11/13/2007
Last updated
06/11/2024
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