Individual
SUSAN HAGEMEIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EIS
Contact information
Practice address
320 CUSTER RD, RICHARDSON, TX 75080-5623
(972) 490-9055
(972) 490-9058
Mailing address
320 CUSTER RD, RICHARDSON, TX 75080-5623
(972) 490-9055
(972) 490-9058
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
TX
222Q00000X
Developmental Therapist
Primary
—
TX
Other
Enumeration date
07/21/2015
Last updated
07/21/2015
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