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1801196027
LISA LOUISE HAZELWOOD
RANCHO CUCAMONGA, CA
NPI
1801196027
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA 23776)
Enumeration Date
2010-10-22
Last Update Date
2013-09-28
Business Address
Dr. LISA LOUISE HAZELWOOD Ph.D.
9500 ETIWANDA AVE., WEST VALLEY DETENTION CENTER ATTN: MEDICAL SRVCS/LIBERTY ROC
RANCHO CUCAMONGA, CA 91739
Phone number: 909-463-5115
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Mailing Address
Dr. LISA LOUISE HAZELWOOD Ph.D.
PO BOX 5488
PASADENA, CA 91117-0488
Phone number: 806-535-5893
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