Individual
STACY NICOLE HAZLIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14041 ICOT BLVD, CLEARWATER, FL 33760-3702
(727) 450-7269
(727) 479-1248
Mailing address
14041 ICOT BLVD, CLEARWATER, FL 33760-3702
(727) 450-7269
(727) 479-1248
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/19/2010
Last updated
10/19/2010
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