Camagong, Hazel T

Camagong, Hazel T is an individual health care provider with primary practice located at 394 Courthouse Rd Suite B, Gulfport MS 39507-1865. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Camagong, Hazel T can be contacted via phone (228) 896-1189.

Contact Information

Primary practice address
394 Courthouse Rd Suite B Gulfport MS 39507-1865
Phone: (228) 896-1189
Fax: (228) 896-9989
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X S2478 Mississippi

Profile Details

NPI number 1205938156
LBN Legal business name Camagong, Hazel T
Credentials SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2006
Last updated Mar 31st, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205938156 NPPES
Mississippi MEDICAID 09015077
Mississippi Other 1033218524

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