Individual
BRADEN HAZLITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3125 POPLARWOOD CT, SUITE 203, RALEIGH, NC 27604-1084
(919) 787-6131
(919) 571-2932
Mailing address
2101 GARNER RD, RALEIGH, NC 27610-4687
(919) 832-1400
(919) 832-0825
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C009519
NC
Other
Enumeration date
06/03/2013
Last updated
07/28/2016
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