| Hazel Mackey Center | |
|
1128 S 5th St Springfield IL 62703-2314 | |
| (217) 544-0388 | |
| (217) 544-0391 |
| Full Name | Hazel Mackey Center |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1128 S 5th St, Springfield, Illinois |
| Authorized Official Name and Position | Barney M Bruzetti (CHIEF FISCAL OFFICER) |
| Authorized Official Contact | 2175440388 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hazel Mackey Center 1128 S 5th St Springfield IL 62703-2314 Ph: (217) 544-0388 | Hazel Mackey Center 1128 S 5th St Springfield IL 62703-2314 Ph: (217) 544-0388 |
| NPI Number | 1306992938 |
|---|---|
| Provider Enumeration Date | 01/26/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306992938 | NPI | - | NPPES |
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