Summer C Hagen

NPI #1043992662 in Bloomington, Minnesota

Provider Information

NPI Number: 1043992662
Entity Type: Individual
Name: Summer C Hagen
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Aug 3, 2023
Last Updated: Aug 3, 2023

Practice Location

Address: 9333 PENN AVE S
City: Bloomington
State: Minnesota
ZIP Code: 55431-2320
Phone: (952) 405-9937

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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