Individual
HAZEL MICHELLE HOWARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
125 S MAIN CROSS ST, LOUISA, KY 41230-1065
(606) 639-0938
Mailing address
125 S MAIN CROSS ST, LOUISA, KY 41230-1065
(606) 639-0938
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
07/15/2021
Last updated
08/24/2022
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