CLARK J HAZEL Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149025249

License Status

ACTIVE

Business

First Name

CLARK

Middle

Last Name

HAZEL

Business Name

CLARK J HAZEL

Original Issue Date

01/18/2023

Effective Date

09/12/2025

Expiration Date

11/30/2027

City

PORTLAND

State

Zip

97206

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/12/2025