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Individual

JUDITH MAZEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
622 STATE ST, SPRINGFIELD, MA 01109-4104
(413) 439-1209
Mailing address
622 STATE ST, SPRINGFIELD, MA 01109-4104
(413) 439-1209

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
210518
MA

Other

Enumeration date
12/03/2015
Last updated
12/03/2015
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