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Individual

MIRANDA ANNE MAZZA-WRIGHT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1502 W EDGEWOOD AVE, INDIANAPOLIS, IN 46217-9291
(317) 561-1888
Mailing address
1502 W EDGEWOOD AVE, INDIANAPOLIS, IN 46217-9291

Taxonomy

Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
235Z00000X
Speech-Language Pathologist
Primary
46004756A
IN

Other

Enumeration date
07/01/2020
Last updated
07/27/2026
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