Individual
KAY ANN HAGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
631 SPRING CREEK DR, ASHLAND, OR 97520-1454
(541) 708-1235
Mailing address
631 SPRING CREEK DR, ASHLAND, OR 97520-1454
(541) 708-1235
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
26118
CA
1041C0700X
Clinical Social Worker
Primary
L5251
OR
Other
Enumeration date
02/15/2012
Last updated
02/15/2012
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