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Individual
MICHELLE E MAZZELLA
Active
Individual
MICHELLE E MAZZELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP, TSSLD
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
016614
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016614
SPEECH LANGUAGE PATHOLOGY
NY
Enumeration date
02/06/2007
Last updated
01/23/2017
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