Mallory Mazanek

NPI #1407524010 in Carterville, Illinois

Provider Information

NPI Number: 1407524010
Entity Type: Individual
Name: Mallory Mazanek
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Aug 31, 2021
Last Updated: Aug 31, 2021

Practice Location

Address: 403 MUNICIPAL DR
City: Carterville
State: Illinois
ZIP Code: 62918-2042
Phone: (855) 608-3560

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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