Individual
DENA HAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
141 COMMUNICATION DR, HANNIBAL, MO 63401-3670
(573) 603-1460
(573) 603-1462
Mailing address
900 E LAHARPE ST, KIRKSVILLE, MO 63501-4520
(660) 665-1962
(660) 665-3989
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2015012188
IL
Other
Enumeration date
06/29/2016
Last updated
06/29/2016
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