Individual
MITZIE JAZMIN BAEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LMFT, CCTP
Contact information
Practice address
15 S 9TH ST, LEBANON, PA 17042-5104
(717) 273-5992
(717) 273-5995
Mailing address
410 N PRINCE ST, LANCASTER, PA 17603-3010
(717) 560-7919
(717) 560-6452
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MF001056
PA
Other
Enumeration date
03/25/2019
Last updated
03/25/2019
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