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General NPI Number Information
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NPI Number | 1649093204
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Entity Type | Individual
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Provider Name | ERICA LASHAWN HAGAN LMFT
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Gender | Female
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Dates
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Enumeration Date | 11/04/2024
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Last Update Date | 11/17/2025
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Provider Practice Location Address
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Address Line | 5415 PAGE BLVD
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City | SAINT LOUIS
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State | MO
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Zip | 63112-3416
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Country | US
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Telephone | 314-601-2737
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Fax |
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Provider Business Mailing Address
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Address Line | 12 N. SARAH ST PMB 1025
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City | SAINT LOUIS
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State | MO
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Zip | 63108
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Country | US
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Telephone | 314-644-8794
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 2024040482
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License Number State | MO
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