Individual
JESSICA LEA HAZLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
401 BROADWAY, SEATTLE, WA 98122
(206) 744-9684
Mailing address
325 9TH AVE # MS 359797, SEATTLE, WA 98104-2420
(206) 744-9600
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW60803665
WA
Other
Enumeration date
02/23/2018
Last updated
05/03/2024
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