Doctor Name: | CHERYL L. HAGERMAN |
NPI Number: | 1336208834 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSSW, LCSW |
License Number: | 1211-123 |
Business Practice Address: | 1321 N Main St Viroqua, WI - 546651156 |
Business Phone Number: | 6086377052 |
Business Fax Number: | 6086378500 |
Mailing Address: | 1707 Main St, LA CROSSE |
State: | WI |
Postal Code: | 546014200 |
Phone Number: | 6087850001 |
Fax Number: | 6087850002 |
NPI Enumeration Date: | 12/08/2006 |
NPI Last Update Date: | 09/06/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 1211-123 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |