Individual
ALEXANDRA MAZIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
510 CONSHOHOCKEN STATE RD, BALA CYNWYD, PA 19004-2513
(484) 470-3319
Mailing address
510 CONSHOHOCKEN STATE RD, BRYN MARW, PA 19004
(484) 470-3319
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/14/2016
Last updated
07/14/2016
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