Individual
KIMBERLY HAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, SAP
Contact information
Practice address
635 N STATE ST, SUITE B, GREENFIELD, IN 46140-1400
(317) 437-5104
Mailing address
152 N 600 E, GREENFIELD, IN 46140-8363
(317) 437-5104
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34007344A
IN
Other
Enumeration date
08/27/2015
Last updated
03/22/2024
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