BRYAN C HAZELTON

ROCKVILLE CENTRE, NY
NPI1639182686
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NY  r028215-1)
Enumeration Date2006-08-14
Last Update Date2007-07-08
Business Address
Mr. BRYAN C HAZELTON lcsw casac bcd
100 N VILLAGE AVE SUITE 32
ROCKVILLE CENTRE, NY 11570-3767
Phone number: 516-678-4079
Mailing Address
Mr. BRYAN C HAZELTON lcsw casac bcd
100 N VILLAGE AVE SUITE 32
ROCKVILLE CENTRE, NY 11570-3767
Phone number: 516-678-4079