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Individual

PAUL MAZEROFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ED.D

Contact information

Practice address
625 W. ELM AVENUE, HANOVER, PA 17331
(717) 632-4900
(717) 632-4313
Mailing address
625 W. ELM AVENUE, HANOVER, PA 17331
(717) 632-4900
(717) 632-4313

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PS008389L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1007446410021
PA
Enumeration date
09/28/2006
Last updated
07/08/2007
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