DALE TODD HAZLAK

WILKES BARRE, PA
NPI1073702379
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103T00000X Psychologist
(Licence: PA  PS007296L)
Enumeration Date2007-10-23
Last Update Date2007-10-23
Business Address
-- DALE TODD HAZLAK
110 S PENNSYLVANIA AVE
WILKES BARRE, PA 18701-3301
Phone number: 570-552-6000
Mailing Address
-- DALE TODD HAZLAK
176 OLIVER ST
SWOYERSVILLE, PA 18704-1944
Phone number:
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