Ellen Mazza LCSW

NPI 1285866764 - Social Worker - 1041C0700X

NPI Details
NPI 1285866764
Gender Female
Enumeration Date 08/17/2009
Last Updated 08/17/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
626 SUMAC RD
HIGHLAND PARK IL, 60035-4450, US
Phone (847) 926-3233
Fax
Business Location
626 SUMAC RD
HIGHLAND PARK IL, 60035-4450, US
Phone (847) 926-3233
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Illinois
License Number 149.013378
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According to our database, Ellen Mazza LCSW NPI is 1285866764, taxonomy code is 1041C0700X and license number is 149.013378, license state is located at Illinois. Ellen Mazza LCSW physically located at 626 Sumac Rd, Highland Park IL, 60035-4450. NPI Number Ellen Mazza LCSW has the Individual type.

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1285866764 NPI number is provided on an as is basis without warranty of any kind. 1285866764 is maintained by the National Plan & Provider Enumeration System. The contents of Ellen Mazza LCSW are for informational purposes only.