Individual
SHONTA N HAZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2708 NE 14TH ST, SUITE 5, POMPANO BEACH, FL 33062-3565
(888) 880-9720
Mailing address
545 E HUNTINGDON ST, SAVANNAH, GA 31401-5134
(912) 227-2679
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
08/27/2011
Last updated
08/27/2011
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