HAZEL MAE SOUTHERLAND

DURANT, OK
NPI1457663908
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: OK  3106)
Enumeration Date2010-07-12
Last Update Date2010-07-12
Business Address
Ms. HAZEL MAE SOUTHERLAND LPC
212 W EVERGREEN ST
DURANT, OK 74701-4710
Phone number: 580-931-9901
Mailing Address
Ms. HAZEL MAE SOUTHERLAND LPC
212 W EVERGREEN ST
DURANT, OK 74701-4710
Phone number: 580-931-9901