Individual
STACY HICKS HAGMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
1227 PAYNE ST, LOUISVILLE, KY 40204-2315
(502) 409-1971
Mailing address
1227 PAYNE ST, LOUISVILLE, KY 40204-2315
(502) 409-1971
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
5369
KY
Other
Enumeration date
08/19/2008
Last updated
08/19/2008
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