Mazie Ellis, LCSWA
NPI #1003532052 in Fayetteville, North Carolina
Provider Information
- NPI Number
- 1003532052
- Entity Type
- Individual
- Name
- Mazie Ellis, LCSWA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSWA
- Enumeration Date
- Oct 12, 2022
- Last Updated
- Oct 30, 2023
Practice Location
- Address
- 3605 CAMSON RD
- City
- Fayetteville
- State
- North Carolina
- ZIP Code
- 28306-3743
- Phone
- (910) 391-4520
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
| Social Worker - Clinical — Clinical |
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