Individual
TERRI HAZELWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW, LCAC
Contact information
Practice address
4105 W 6TH ST, SUITE B2, LAWRENCE, KS 66049-4609
(785) 766-0641
(785) 841-0026
Mailing address
3601 CLINTON PKWY, A201, LAWRENCE, KS 66047-2220
(785) 766-0641
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
4327
KS
Other
Enumeration date
09/20/2010
Last updated
12/28/2012
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