Ellen Mazza, LCSW

NPI #1285866764 in Highland Park, Illinois

Provider Information

NPI Number
1285866764
Entity Type
Individual
Name
Ellen Mazza, LCSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Aug 17, 2009
Last Updated
Aug 17, 2009

Practice Location

Address
626 SUMAC RD
ZIP Code
60035-4450
Phone
(847) 926-3233

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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