Ellen Mazza's National Provider Identifier (NPI) Details
Ellen Mazza, LCSW
NPI: 1285866764
Enumeration Date: 2009-08-17
Last updated: 2009-08-17
Sole Proprietor: YES
Status: active
Postal Address: 626 SUMAC RD, HIGHLAND PARK, IL
Phone: 847-926-3233
Primary Practice Address: 626 SUMAC RD, HIGHLAND PARK, IL
Practice's phone: 847-926-3233