Individual
PATRICIA SUSAN MAZZELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW ACSW LMFT
Contact information
Practice address
4000 PORTAGE RD, STE 106, KALAMAZOO, MI 49001
(269) 345-5041
Mailing address
4000 PORTAGE RD, STE 106, KALAMAZOO, MI 49001
(269) 345-5041
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LMSW6801012420
MI
106H00000X
Marriage & Family Therapist
Primary
LMFT4101005696
MI
Other
Enumeration date
02/23/2007
Last updated
09/11/2025
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