Individual
ALYSSA HAZLEGROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13900 HULL STREET RD, MIDLOTHIAN, VA 23112-2004
(804) 639-8900
Mailing address
13900 HULL STREET RD, MIDLOTHIAN, VA 23112-2004
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2204000567
VA
Other
Enumeration date
08/28/2020
Last updated
08/28/2020
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