Individual
KRYSTA VICTORIA MAZUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
7954 UNIVERSITY AVE NE, FRIDLEY, MN 55432-1860
(763) 780-3036
(763) 780-0784
Mailing address
4100 BERKSHIRE LN N STE 250, PLYMOUTH, MN 55446-3813
(612) 688-3701
(612) 223-8899
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
23468
MN
Other
Enumeration date
06/28/2019
Last updated
05/06/2024
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