Kyosha Mazo, LMSW

NPI #1194547851 in Elkridge, Maryland

Provider Information

NPI Number: 1194547851
Entity Type: Individual
Name: Kyosha Mazo, LMSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LMSW
Enumeration Date: Oct 24, 2024
Last Updated: Oct 29, 2024

Practice Location

Address: 6655 SANTA BARBARA RD UNIT 8574
City: Elkridge
State: Maryland
ZIP Code: 21075-7523
Phone: (860) 610-0580

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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