Individual
SHANTEL HAZZARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9233 HERRING BRANCH RD, LINCOLN, DE 19960-3926
(302) 382-6861
Mailing address
9233 HERRING BRANCH RD, LINCOLN, DE 19960-3926
(302) 382-6861
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/29/2019
Last updated
08/29/2019
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