Individual
KELI BEA HAGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1642 42ND ST NE, CEDAR RAPIDS, IA 52402-3076
(319) 377-2161
Mailing address
839 21ST ST SE, CEDAR RAPIDS, IA 52403-2718
(319) 213-2922
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
081546
IA
Other
Enumeration date
02/19/2019
Last updated
02/19/2019
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