Individual
DEBBIE LYNN HAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
10960 SR 70 EAST, BRADENTON, FL 34202
(941) 545-9089
Mailing address
21705 67TH AVENUE EAST, BRADENTON, FL 34211
(941) 322-9620
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW 8415
FL
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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