Individual
MS. LESLIE E. HAZELWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C., L.C.P.C.
Contact information
Practice address
4561 S COMPTON AVE, SAINT LOUIS, MO 63111-1554
(314) 352-1770
Mailing address
501 NICOLET DR, GODFREY, IL 62035-1937
(618) 799-9070
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2006012565
MO
101YP2500X
Professional Counselor
—
IL
Other
Enumeration date
06/04/2006
Last updated
07/08/2007
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