Individual
MR. PETER PAUL MAZZELLA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW-C
Contact information
Practice address
500 N. 5TH ST, MHS-1, HOT SPRINGS, SD 57747
(605) 745-2000
(605) 745-2089
Mailing address
500 N. 5TH ST, MHS-1, HOT SPRINGS, SD 57747
(605) 745-2000
(605) 745-2089
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
05643
MD
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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