Individual
ELISSA MAZZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3516 CANONCITA LN, PLANO, TX 75023-6104
(518) 832-3939
Mailing address
3516 CANONCITA LN, PLANO, TX 75023-6104
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
01/26/2021
Last updated
01/26/2021
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