Individual
ALEXANDRA LEE MAZZOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
518 PEACHTREE RD, ORLANDO, FL 32804-6813
(407) 730-7983
Mailing address
1389 SHALLCROSS AVE, ORLANDO, FL 32828-6839
(860) 335-3661
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
—
—
Other
Enumeration date
06/23/2020
Last updated
06/23/2020
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