Individual
MARISSA MAZUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
95 PRESTBURY LN, SOMERSET, NJ 08873-4784
(732) 887-9963
Mailing address
95 PRESTBURY LN, SOMERSET, NJ 08873-4784
(732) 887-9963
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00770100
NJ
Other
Enumeration date
06/05/2021
Last updated
06/05/2021
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