Individual
MRS. NANCY CLAYCOMB HAZLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
805 DOGWOOD PL, ELIZABETHTOWN, KY 42701-2189
(270) 765-5693
(270) 769-1540
Mailing address
805 DOGWOOD PL, ELIZABETHTOWN, KY 42701-2189
(270) 765-5693
(270) 769-1540
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/19/2007
Last updated
08/19/2007
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