Larry Kirk Hazen, LCSW
NPI #1033121520 in Twin Falls, Idaho
Provider Information
- NPI Number
- 1033121520
- Entity Type
- Individual
- Name
- Larry Kirk Hazen, LCSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Aug 12, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 260 2ND AVE E
- City
- Twin Falls
- State
- Idaho
- ZIP Code
- 83301-6242
- Phone
- (208) 732-0947
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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