Individual
ANGELA ROSE MAZUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA,LLP
Contact information
Practice address
39343 LEDGATE DR, STERLING HEIGHTS, MI 48310-2339
(586) 939-2393
Mailing address
2011 CROOKS RD, ROYAL OAK, MI 48073-4049
(248) 414-4050
(248) 414-4053
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301007928
MI
Other
Enumeration date
07/04/2008
Last updated
07/04/2008
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