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Ms. Sandra Jean Hageman
Peer Specialist in Elk City, Oklahoma
NPI 1619562030

Sandra Jean Hageman is a Peer Specialist based in Oklahoma City, OK. Sandra Jean Hageman practices in Elk City, OK. The NPI Number for Sandra Jean Hageman is 1619562030 and holds a License No. (Oklahoma).

The current practice location address for Sandra Jean Hageman is 3080 W 3Rd St, Elk City, OK and can be reached out via phone at 580-225-5326.

Location: 3080 W 3Rd St, Elk City, OK, 73105-5108
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619562030
Provider Name
Sandra Jean Hageman
Credential
Provider Entity Type
Individual
Gender
Female
Address
3080 W 3Rd St, Elk City, OK, 73105-5108
Phone Number
580-225-5326
Fax Number
Provider Enumeration Date
03/08/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3080 W 3Rd St
City
Elk City
State
Oklahoma
Zip
73644-4323
Phone Number
580-225-5326
Fax Number
person
Provider Business Mailing Address Details
Address
3080 W 3Rd St
City
Elk City
State
Oklahoma
Zip
73644-4323
Phone Number
580-225-5326
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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