Individual
JULIE ANN MIZAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
8114 SANDPIPER CIR STE 215, NOTTINGHAM, MD 21236-5902
(410) 933-9000
(410) 933-0125
Mailing address
626 REVOLUTION ST, HAVRE DE GRACE, MD 21078-3320
(410) 939-8744
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1225005580
MD
104100000X
Social Worker
16750
MD
Other
Enumeration date
01/08/2013
Last updated
07/21/2022
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