Individual
MRS. CAMERON MAZZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
24 JACKSON AVE, GLENS FALLS, NY 12801-2433
(518) 792-1071
Mailing address
330 GURNEY LN, QUEENSBURY, NY 12804-8257
(518) 796-7275
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089799
NY
1041S0200X
School Social Worker
096021-1
NY
Other
Enumeration date
04/29/2016
Last updated
04/20/2021
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