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Individual

MRS. TARINA JOAN HAGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
650 E INDIAN SCHOOL RD, PHOENIX, AZ 85012-1839
(602) 277-5551
(602) 200-2326
Mailing address
4646 JOHN R ST, DETROIT, MI 48201-1916
(313) 576-1000
(133) 576-1446

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
LMSW-13410
AZ
1041C0700X
Clinical Social Worker
Primary
6801114314
MI
1041C0700X
Clinical Social Worker
LMSW-13410
AZ

Other

Enumeration date
06/19/2017
Last updated
05/04/2022
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