Individual
MARIAH HAZELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 MAINE ST STE A, LAWRENCE, KS 66044-1396
(785) 832-8192
Mailing address
200 MAINE ST STE A, LAWRENCE, KS 66044-1396
(785) 832-8192
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
03344
KS
Other
Enumeration date
07/08/2026
Last updated
07/08/2026
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