Individual
MRS. LESLIE C HAZLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
12 LEO RD, MARBLEHEAD, MA 01945-2002
(781) 639-2778
Mailing address
12 LEO RD, MARBLEHEAD, MA 01945-2002
(781) 639-2778
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
1026160
MA
Other
Enumeration date
02/12/2008
Last updated
02/12/2008
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