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1295714442
COLLEEN L HAGAN
MARIETTA, GA
NPI
1295714442
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: GA 001379)
Enumeration Date
2006-01-14
Last Update Date
2007-07-08
Business Address
-- COLLEEN L HAGAN
1640 POWERS FERRY RD BLDG 29, STE 350
MARIETTA, GA 30067-5491
Phone number: 770-956-9212
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Mailing Address
-- COLLEEN L HAGAN
1640 POWERS FERRY RD BLDG 29, STE 350
MARIETTA, GA 30067-5491
Phone number: 770-956-9212
Copy
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