Individual
DR. CLIVE GARRAD HAZELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, DN
Contact information
Practice address
3324 N KOSTNER AVE, CHICAGO, IL 60641-4513
(773) 726-1952
Mailing address
3324 N KOSTNER AVE, CHICAGO, IL 60641-4513
(773) 726-1952
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
180003932
IL
Other
Enumeration date
06/27/2012
Last updated
06/27/2012
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