Individual
MS. MELANIE HAZLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1515 NE LAWRIE TATUM RD, LAWTON, OK 73507
(580) 305-2838
Mailing address
1515 NE LAWRIE TATUM RD, LAWTON, OK 73507-3002
(580) 305-2838
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/16/2014
Last updated
01/02/2019
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