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Individual

HEATHER LOUISE HAGAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, CCC-SLP

Contact information

Practice address
1502 SPRUCE AVE, WILMINGTON, DE 19805-2148
(302) 552-3797
Mailing address
820 W 19TH ST, RPLC PRESCHOOL AT WARNER ELEMENTARY, WILMINGTON, DE 19802-3803
(302) 651-2607
(302) 651-2611

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
01-0001494
DE

Other

Enumeration date
09/23/2016
Last updated
09/23/2016
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