JEROME HAGEN

SEATTLE, WA
NPI1467561738
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
(Licence: WA  020701 rc00018843)
Enumeration Date2006-08-30
Last Update Date2007-07-08
Business Address
Mr. JEROME HAGEN msw
1660 S COLUMBIAN WAY
SEATTLE, WA 98108-1532
Phone number: 206-764-2017
Mailing Address
Mr. JEROME HAGEN msw
5407 SW GENESEE ST
SEATTLE, WA 98116-3929
Phone number: