Individual
LAURIE HAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
520 3RD AVE NW, JAMESTOWN, ND 58401-3016
(701) 253-6300
(701) 253-6400
Mailing address
PO BOX 2055, JAMESTOWN, ND 58402-2055
(701) 253-6300
(701) 253-6400
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
12202
MN
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
01/20/2016
Last updated
01/20/2016
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