Individual
MEADOW M HAZELHOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6051 N BROOKLINE AVE STE 112, OKLAHOMA CITY, OK 73112-4286
(405) 810-0054
Mailing address
6051 N BROOKLINE AVE STE 112, OKLAHOMA CITY, OK 73112-4286
(405) 810-0054
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200738420A
—
OK
Enumeration date
11/04/2017
Last updated
06/12/2020
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