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General NPI Number Information
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NPI Number | 1033682851
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Entity Type | Organization
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Legal Business Name | ANNE S HAGEN, LCSW, LLC
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Dates
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Enumeration Date | 01/03/2019
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Last Update Date | 01/03/2019
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Provider Practice Location Address
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Address Line | 1015 S COMPTON AVE
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City | SAINT LOUIS
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State | MO
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Zip | 63104-1209
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Country | US
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Telephone | 314-398-2466
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Fax | 844-515-5150
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Provider Business Mailing Address
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Address Line | 6932 PLAINVIEW AVE
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City | SAINT LOUIS
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State | MO
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Zip | 63109-1960
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Country | US
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Telephone | 314-226-0160
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Fax | 844-515-5150
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Authorized Official
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Title or Position | OWNER
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Name | MS. ANNE S HAGEN
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Credential | MSW, LCSW
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Telephone | 314-226-0160
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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