Individual
MR. SCOTTY THOMAS HAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.W.
Contact information
Practice address
1515 WEST PLEASANT, KNOXVILLE, IA 50138
(641) 842-3101
(641) 828-6796
Mailing address
P.O. BOX 107, KNOXVILLE, IA 50138
(641) 842-3101
(641) 828-5377
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
06461
IA
Other
Enumeration date
09/26/2006
Last updated
07/08/2007
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