Individual
JASMINE ROSE MAZZEI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1500 ARBOR WAY, KAUKAUNA, WI 54130-7305
(920) 278-1294
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10040
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100094630
—
WI
Enumeration date
09/27/2019
Last updated
03/12/2025
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