MR. Peter Paul Mazzella JR., LCSW-C

NPI #1164520755 in Hot Springs, South Dakota

Provider Information

NPI Number
1164520755
Entity Type
Individual
Name
MR. Peter Paul Mazzella JR., LCSW-C
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LCSW-C
Enumeration Date
Sep 20, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
500 N. 5TH ST, MHS-1
ZIP Code
57747
Phone
(605) 745-2000

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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