Individual
COREY R HAGANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHS
Contact information
Practice address
502 E BURGESS ST, MOUNT VERNON, OH 43050-2657
(740) 507-1738
Mailing address
502 E BURGESS ST, MOUNT VERNON, OH 43050-2657
(740) 507-1738
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
12/06/2018
Last updated
09/12/2024
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