Individual
ANNA MARGARET HAZELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSS
Contact information
Practice address
2145 CENTENNIAL PLZ, EUGENE, OR 97401-2421
(541) 485-6340
(541) 984-3124
Mailing address
4129 W 18TH AVE APT 157, EUGENE, OR 97402-2802
(541) 485-6340
(541) 984-3124
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/15/2011
Last updated
03/15/2011
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