| Hagedorn Enterprises | |
|
66 N Sheridan Ave Indianapolis IN 46219-6122 | |
| (317) 353-2912 | |
| Not Available |
| Full Name | Hagedorn Enterprises |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 66 N Sheridan Ave, Indianapolis, Indiana |
| Authorized Official Name and Position | Neva E Hagedorn (COUNSELOR) |
| Authorized Official Contact | 3173532912 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hagedorn Enterprises 66 N Sheridan Ave Indianapolis IN 46219-6122 Ph: (317) 353-2912 | Hagedorn Enterprises 66 N Sheridan Ave Indianapolis IN 46219-6122 Ph: (317) 353-2912 |
| NPI Number | 1558484030 |
|---|---|
| Provider Enumeration Date | 04/09/2007 |
| Last Update Date | 08/22/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558484030 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 33005191A (Indiana) | Primary |
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