Individual
JAMES MAZZUCHELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
718 SMYTH RD, MANCHESTER, NH 03104-7007
(603) 624-4366
(603) 626-6576
Mailing address
718 SMYTH RD, MANCHESTER, NH 03104-7007
(603) 624-4366
(603) 626-6576
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089.0092659
VT
Other
Enumeration date
01/22/2014
Last updated
01/22/2014
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