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Individual

ANDREA HOGAN-MAZZINI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
10-42 MITCHELL AVE, BINGHAMTON, NY 13903-1617
(607) 762-3092
Mailing address
346 GRAND AVE, JOHNSON CITY, NY 13790-2580
(607) 770-0025
(607) 729-2209

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
078048
NY

Other

Enumeration date
12/07/2010
Last updated
12/07/2010
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