Individual
HAZEL NICHOLE WOODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
304 W EAU CLAIRE ST, RICE LAKE, WI 54868-1625
(480) 514-9600
Mailing address
318 BOLANDS PRIVATE DR, SHELL LAKE, WI 54871-8723
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
11971-123
WI
Other
Enumeration date
02/23/2023
Last updated
10/07/2024
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