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Individual

MR. JONATHAN MAZZA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LAC

Contact information

Practice address
97 W PARKWAY, POMPTON PLAINS, NJ 07444-1647
(973) 831-5340
Mailing address
97 W PARKWAY, POMPTON PLAINS, NJ 07444-1647
(973) 831-5340

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37AC00244700
NJ

Other

Enumeration date
06/20/2018
Last updated
06/20/2018
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