Individual
CONNIE ELIZABETH MAZZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1750 HALLS CREEK RD, WAVERLY, TN 37185-3718
(615) 618-2243
Mailing address
1016 NEWBURGH CT, SMYRNA, TN 37167-6251
(615) 618-2243
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1772
TN
Other
Enumeration date
05/17/2023
Last updated
05/17/2023
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