Individual
DIANNE B HAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1512 CAMBRIDGE RD, STATESBORO, GA 30461-0902
(912) 581-1565
Mailing address
1512 CAMBRIDGE RD, STATESBORO, GA 30461-0902
(912) 483-8831
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/25/2025
Last updated
11/25/2025
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