Individual
MR. HENRY A MAZUR
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LISW CCDC IIIE
Contact information
Practice address
28790 CHAGRIN BLVD, SUITE 260, PEPPER PIKE, OH 44122-4642
(216) 839-2273
(216) 896-0735
Mailing address
PO BOX 24242, CLEVELAND, OH 44124-0242
(216) 839-2273
(216) 896-0735
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
I0004140
OH
Other
Enumeration date
11/15/2005
Last updated
07/08/2007
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