Individual
KENNETH J HAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSCSW
Contact information
Practice address
3500 SW 6TH AVE, SUITE 116, TOPEKA, KS 66606-2806
(785) 233-7138
(785) 233-7089
Mailing address
3500 SW 6TH AVE, SUITE 116, TOPEKA, KS 66606-2806
(785) 233-7138
(785) 233-7089
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0637
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200005510A
—
KS
Enumeration date
02/02/2006
Last updated
10/02/2007
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