Individual
EBONY HAZEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSWA
Contact information
Practice address
2003 EAST NC HWY 54, SUITE C, DURHAM, NC 27713
(919) 682-5300
Mailing address
5523 NC HWY 55, APT 231, DURHAM, NC 27713
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P018691
NC
Other
Enumeration date
03/15/2023
Last updated
03/15/2023
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