Individual
LAUREL A MAZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1905 CENTER AVE, JANESVILLE, WI 53546-2842
(608) 352-9701
Mailing address
1310 LANDMARK DR, COTTAGE GROVE, WI 53527-8974
(608) 345-9812
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
134559-121
WI
Other
Enumeration date
10/09/2023
Last updated
10/16/2023
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