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Individual

MR. EUGENE MIKE MAZZOCCHI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
76 FERRELL LAWSON ST, CHAPMANVILLE, WV 25508-4535
(304) 688-9732
(304) 855-5544
Mailing address
PO BOX 1499, CHAPMANVILLE, WV 25508-1499
(304) 688-9732
(304) 855-5544

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2025
WV

Other

Enumeration date
12/12/2011
Last updated
02/20/2018
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