Individual
HAZEL L THOMPSON-BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
131 W BROAD ST, ROCHESTER, NY 14614-1103
(585) 262-8100
Mailing address
1338 EMERSON ST APT A, ROCHESTER, NY 14606-3053
(585) 615-8135
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
055419
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
055419
NY STATE DEPARTMENT OF EDUCATION
NY
Enumeration date
09/07/2019
Last updated
09/07/2019
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