Individual
MARY L MOZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
289 MAIN ST, SALEM, NH 03079-2731
(603) 890-8674
(603) 890-8671
Mailing address
180 MAIN ST, ANDOVER, MA 01810-4166
(603) 890-8674
(603) 890-8671
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
257
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
80002567
—
NH
Enumeration date
09/20/2006
Last updated
07/08/2007
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