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Individual

KE'ANDRA L HAGANS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, APSW

Contact information

Practice address
4200 N HOLTON ST STE 400, MILWAUKEE, WI 53212-1064
(414) 810-1535
(414) 964-0102
Mailing address
3207 N 44TH ST, MILWAUKEE, WI 53216-3541

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
128336-121
WI

Other

Enumeration date
08/20/2013
Last updated
08/20/2013
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