Keli Hagen Lisw, Pllc
NPI #1013529114 in Cedar Rapids, Iowa
Provider Information
- NPI Number
- 1013529114
- Entity Type
- Organization
- Organization Name
- Keli Hagen Lisw, Pllc
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Aug 19, 2020
- Last Updated
- Aug 19, 2020
Practice Location
- Address
- 4403 1ST AVE SE STE 412
- City
- Cedar Rapids
- State
- Iowa
- ZIP Code
- 52402-3221
- Phone
- (319) 213-2922
Authorized Official
- Name
- KELI B HAGEN, LISW
- Title
- SOLE MEMBER
- Phone
- (319) 213-2922
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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