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Individual

SARAH ELIZABETH HAGIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
1 HOPPIN ST, SUITE 204, PROVIDENCE, RI 02903-4141
(401) 444-8945
(401) 444-8742
Mailing address
593 EDDY ST, APC 978, PROVIDENCE, RI 02903-4923
(401) 444-8945
(401) 444-8742

Taxonomy

Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PS
PROFESSIONAL LICENSE
RI
Enumeration date
08/25/2011
Last updated
09/13/2011
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