Individual
MARISA MAZZARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
166 PATTERSON AVE, SHREWSBURY, NJ 07702
(732) 842-6600
Mailing address
3 KOALA CT, COLTS NECK, NJ 07722-1800
(917) 697-4237
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00922300
NJ
Other
Enumeration date
06/20/2018
Last updated
06/20/2018
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