Individual
MARY KATHERINE MAZZOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7432 MARILLAC DR, SAINT LOUIS, MO 63121-4744
(314) 495-8430
(314) 689-0211
Mailing address
221 MONTROSE CT, O FALLON, MO 63368-7726
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
2023034141
MO
Other
Enumeration date
01/02/2024
Last updated
01/02/2024
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