MRS. Idania E Hazlehurst, LMSW

NPI #1710275078 in Central Islip, New York

Provider Information

NPI Number: 1710275078
Entity Type: Individual
Name: MRS. Idania E Hazlehurst, LMSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LMSW
Enumeration Date: Jul 20, 2011
Last Updated: May 29, 2013

Practice Location

Address: 320 CARLETON AVE
City: Central Islip
State: New York
ZIP Code: 11722-4506
Phone: (631) 234-7807

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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