Individual
PHILLIP MAZUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SW
Contact information
Practice address
257 BRODHEAD RD, BETHLEHEM, PA 18017-8938
(484) 822-5700
(484) 822-5796
Mailing address
801 OSTRUM ST, ENROLLMENT DEPT, BETHLEHEM, PA 18015-1000
(484) 526-4999
(833) 213-6428
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW139393
PA
Other
Enumeration date
10/03/2022
Last updated
10/03/2022
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