Individual
MRS. GAYE HAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
98 GORDON COMMERCIAL DR, LAGRANGE, GA 30240-5735
(706) 837-0045
Mailing address
764 WILD GINGER LN, AUBURN, AL 36830-6050
(334) 524-5742
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2431
AL
101Y00000X
Counselor
LPC006942
GA
Other
Enumeration date
05/08/2014
Last updated
05/08/2014
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