Individual
AMY HAZLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1220 BARDSTOWN RD, LOUISVILLE, KY 40204-1304
(502) 589-1100
(502) 589-8771
Mailing address
101 W MUHAMMAD ALI BLVD, LOUISVILLE, KY 40202-1423
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/05/2008
Last updated
02/05/2008
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