Individual
EKATERINA MAZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
622-624 VALLEY RD APT 5E, MONTCLAIR, NJ 07043-1462
(845) 507-6787
Mailing address
67 ROCKEFELLER DR, PALM COAST, FL 32164-6974
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
44SL06405600
NJ
Other
Enumeration date
07/13/2021
Last updated
07/13/2021
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