Individual
KYOSHA MAZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
6655 SANTA BARBARA RD UNIT 8574, ELKRIDGE, MD 21075-7523
(860) 610-0580
Mailing address
6655 SANTA BARBARA RD UNIT 8574, ELKRIDGE, MD 21075-7523
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
10/24/2024
Last updated
10/29/2024
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