EMMETT HAZELWOOD

RIVERSIDE, CA
NPI1194028027
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2010-12-15
Last Update Date2011-08-12
Business Address
-- EMMETT HAZELWOOD
3576 ARLINGTON AVE STE 102
RIVERSIDE, CA 92506-3907
Phone number: 951-782-9577
Mailing Address
-- EMMETT HAZELWOOD
3576 ARLINGTON AVE STE 102
RIVERSIDE, CA 92506-3907
Phone number: 951-782-9577
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