Individual
ANDREA JEAN MAZARIEGOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1727 WALLS CIR, TRENTON, GA 30752-5623
(423) 595-9324
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/19/2024
Last updated
09/19/2024
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