MARY CECIL HAGAN

LOUISVILLE, KY
NPI1164727871
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
(Licence: KY  R4368)
Enumeration Date2011-01-12
Last Update Date2011-01-12
Business Address
Mrs. MARY CECIL HAGAN OTR/ L
2615 MCCOY WAY
LOUISVILLE, KY 40205-2361
Phone number: 502-552-9209
Mailing Address
Mrs. MARY CECIL HAGAN OTR/ L
9817 WHITE BLOSSOM BLVD
LOUISVILLE, KY 40241-4181
Phone number: 502-295-8673