Individual
CHARLA JEANNE HAZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1448 S A ST, ELWOOD, IN 46036-1903
(765) 552-4611
Mailing address
10330 N MERIDIAN ST, SUITE 201, INDIANAPOLIS, IN 46290-1024
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
39000690A
IN
1041C0700X
Clinical Social Worker
Primary
34003501A
IN
Other
Enumeration date
11/23/2005
Last updated
06/28/2008
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