Individual
MRS. LESLIE A HAGEDORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
734 W DELAWARE ST STE 217, EVANSVILLE, IN 47710-1667
(812) 499-7950
Mailing address
5618 JEFFERSON AVE, EVANSVILLE, IN 47715-5018
(812) 568-1282
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
99073814A
IN
Other
Enumeration date
11/05/2016
Last updated
11/05/2016
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