Individual
MARY HAGEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
700 RANDOLPH ST, RADFORD, VA 24141-2430
(540) 633-6533
Mailing address
147 DEER RUN, WYTHEVILLE, VA 24382-9998
(276) 389-9327
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
2202005237
VA
235Z00000X
Speech-Language Pathologist
Primary
SA 11776
FL
Other
Enumeration date
12/12/2012
Last updated
02/06/2015
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