Individual
SAMANTHA NOEL HAGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
305 9TH STREET, WINDOM, MN 56101
(507) 832-8033
Mailing address
P.O. BOX 513, 202 BROADWAY AVE., ORMSBY, MN 56162
(507) 327-2854
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
304136
MN
Other
Enumeration date
04/10/2015
Last updated
04/10/2015
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