Individual
JEANETTE L MAZZOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
3518 W 25TH ST, CLEVELAND, OH 44109-1951
(216) 459-9827
(216) 459-9821
Mailing address
2525 E 22ND ST, CLEVELAND, OH 44115-3202
(216) 696-5800
(216) 696-5692
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I0800240
OH
Other
Enumeration date
03/13/2008
Last updated
01/24/2011
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