Individual
SALLY MAZUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
MEMORIAL SPAULDING SCHOOL, 250 BROOKLINE STREET, NEWTON, MA 02465
(617) 501-2540
Mailing address
SALLY MAZUR, 34 JAMES STREET, NEWTON, MA 02465
(617) 501-2540
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
583969
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
583969
BOARD OF SOCIAL WORK, MASSACHUSETTS
MA
Enumeration date
06/07/2018
Last updated
06/07/2018
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