Individual
NICOLE MAZZOLENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
833 S 17TH AVE, WAUSAU, WI 54401-5301
(608) 640-9315
Mailing address
833 S 17TH AVE, WAUSAU, WI 54401-5301
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9929-123
WI
Other
Enumeration date
10/14/2022
Last updated
10/14/2022
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