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Individual
MS. SHIRLEY MAZOUREK
Active
Individual
MS. SHIRLEY MAZOUREK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW-R
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
074963
NY
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0073074963
—
NY
Enumeration date
12/19/2006
Last updated
09/19/2014
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