Individual
CHRISTINA HAZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
1706 W 7TH ST, FREDERICK, MD 21702-4249
(240) 415-8360
Mailing address
5453 FROGGY BOTTOM LN, FREDERICK, MD 21703-7306
(301) 473-2147
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
69294
TX
1041C0700X
Clinical Social Worker
0904013965
VA
1041C0700X
Clinical Social Worker
Primary
28763
MD
1041C0700X
Clinical Social Worker
68294
TX
Other
Enumeration date
01/04/2022
Last updated
08/16/2023
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