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Individual

MARY CIZI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1810 MACOPIN RD, WEST MILFORD, NJ 07480-1810
(973) 728-7788
Mailing address
1810 MACOPIN RD, WEST MILFORD, NJ 07480-1810

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37CA00038600
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
37CA00038600
STATE OF NEW JERSEY
Enumeration date
03/08/2016
Last updated
03/08/2016
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