Individual
ALLYSON MAZZUCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22 WILSON AVE, NORTHAMPTON, MA 01060-3814
(413) 320-3877
Mailing address
22 WILSON AVE, NORTHAMPTON, MA 01060-3814
(413) 320-3877
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
117318
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0300060
MBHP
MA
05
—
1300881
—
MA
Enumeration date
11/23/2009
Last updated
01/02/2023
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