Individual
GINA MARIE MAZZOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
2960 POST RD, SOUTHPORT, CT 06890-1268
(203) 307-3030
Mailing address
2960 POST RD FL 3, SOUTHPORT, CT 06890-1268
(203) 307-3030
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
3167
CT
Other
Enumeration date
12/05/2023
Last updated
12/05/2023
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