LARRY KIRK HAZEN

TWIN FALLS, ID
NPI1033121520
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ID  LCSW-26947)
Enumeration Date2006-08-12
Last Update Date2007-07-08
Business Address
-- LARRY KIRK HAZEN LCSW
260 2ND AVE E
TWIN FALLS, ID 83301-6242
Phone number: 208-732-0947
Mailing Address
-- LARRY KIRK HAZEN LCSW
1887 RIVERWOOD RD
TWIN FALLS, ID 83301-3084
Phone number: 208-733-3730
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