Individual
MS. CAROL SUE HAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LISW
Contact information
Practice address
1111 PAINE ST D, DECORAH, IA 52101-2411
(563) 382-1900
(563) 382-1777
Mailing address
1111 PAINE ST D, DECORAH, IA 52101-2411
(563) 382-9572
(563) 382-1777
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
00801
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00801
LISW
IA
Enumeration date
12/12/2006
Last updated
09/11/2015
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