| NPI | 1013529114 |
|---|---|
| Doing Business As | KELI HAGEN SOLE MBR |
| Entity Type | Organization |
| Authorized Contact | KELI B HAGEN Sole Member 319-213-2922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2020-08-19 |
| Last Update Date | 2020-08-19 |