Individual
MRS. MARY M MOCZYDLOWSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW,LCSW
Contact information
Practice address
3224 NELSON LN, FORT COLLINS, CO 80525-2861
(970) 691-5905
(970) 226-2007
Mailing address
3224 NELSON LN, FORT COLLINS, CO 80525-2861
(970) 691-5905
(970) 226-2007
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
98053
CO
Other
Enumeration date
11/20/2008
Last updated
11/20/2008
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