Individual
HAZEL ERICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9909 E ELENA AVE, MESA, AZ 85208-5860
(480) 484-5077
Mailing address
9909 E ELENA AVE, MESA, AZ 85208-5860
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA6716
AZ
Other
Enumeration date
08/06/2010
Last updated
08/06/2010
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