Individual
MRS. REBECCA JORDAN HAZELWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., CCC-SLP, BCSS
Contact information
Practice address
109 BEE ST, RALPH H. JOHNSON VA MEDICAL CENTER, CHARLESTON, SC 29401-5703
(843) 789-6653
Mailing address
151B RUTLEDGE AVE, MSC 962, CHARLESTON, SC 29425-8903
(843) 792-7162
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5065
SC
Other
Enumeration date
09/29/2014
Last updated
09/29/2014
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