Individual
JOSEPHINE SOPHIA MAZZONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13601 80TH CIR N STE 200, MAPLE GROVE, MN 55369-9801
(424) 228-8967
Mailing address
13601 80TH CIR N STE 200, MAPLE GROVE, MN 55369-9801
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/09/2018
Last updated
03/05/2026
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