Individual
SUSAN L MAZZOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
155 AIRPORT RD, FITCHBURG, MA 01420-8142
(978) 342-6300
Mailing address
53 EDWARD RD, TOWNSEND, MA 01469-1107
(978) 597-2636
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/13/2009
Last updated
03/13/2009
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