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Individual

JANNA HAGERTY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
103 MURPHY AVE, FARMINGTON, MO 63640-1761
(573) 701-1350
Mailing address
103 MURPHY AVE, FARMINGTON, MO 63640-1761
(573) 701-1350

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2002007886
MO

Other

Enumeration date
11/06/2008
Last updated
11/06/2008
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