MRS. Kelly J Hazel

NPI #1235782780 in Middletown, Maryland

Provider Information

NPI Number: 1235782780
Entity Type: Individual
Name: MRS. Kelly J Hazel
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jul 23, 2019
Last Updated: Jul 23, 2019

Practice Location

Address: 8927 MOUNT TABOR RD
City: Middletown
State: Maryland
ZIP Code: 21769-9220
Phone: (610) 368-0219

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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