Individual
BONNIE MAZZEI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3424 CURWOOD ST, WATERFORD, MI 48329-4012
(248) 830-7901
Mailing address
6228 BALMORAL TER, CLARKSTON, MI 48346-3341
(248) 795-4646
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6802087045
MI
Other
Enumeration date
08/19/2011
Last updated
12/07/2020
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