Individual
CORINNE E. HAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1347 S 3RD ST, 101, LOUISVILLE, KY 40208-3306
(502) 634-1916
Mailing address
970 BLOOMFIELD RD., BARDSTOWN, KY 40004
(502) 234-7800
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
6497
KY
1041C0700X
Clinical Social Worker
Primary
253047
KY
Other
Enumeration date
04/12/2015
Last updated
01/11/2023
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