Individual
MS. NICOLE ELIZABETH MAYZNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
722 HANGAR RD, KEESLER AFB, MS 39534-2326
(228) 377-5361
Mailing address
701 FISHER ST, BILOXI, MS 39534-2506
(228) 377-5361
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW005246
GA
Other
Enumeration date
02/25/2011
Last updated
04/26/2018
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