Individual
DANIEL HARVEY MAZALIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8599 KNOX SCHOOL RD, MINERVA, OH 44657-9437
(330) 323-9649
Mailing address
8599 KNOX SCHOOL RD, MINERVA, OH 44657-9437
(330) 323-9649
Taxonomy
Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
Primary
—
—
251E00000X
Home Health Agency
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
07/05/2019
Last updated
07/05/2019
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