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Individual

MS. JENNIFER L. HAGEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW, LIMHP

Contact information

Practice address
PO BOX 471, WALTON, NE 68461-0471
(402) 913-0270
Mailing address
PO BOX 471, WALTON, NE 68461-0471
(402) 913-0270

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
1250
NE
1041C0700X
Clinical Social Worker
Primary
3274
NE
171M00000X
Case Manager/Care Coordinator

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100252730-00
NE
Enumeration date
01/12/2007
Last updated
08/05/2025
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