| Elena Mazza, Lcsw, Limited Liability Company | |
|
268 Broad St Red Bank NJ 07701-2042 | |
| (732) 663-1344 | |
| Not Available |
| Full Name | Elena Mazza, Lcsw, Limited Liability Company |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 268 Broad St, Red Bank, New Jersey |
| Authorized Official Name and Position | Elena Mazza (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 7326631344 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elena Mazza, Lcsw, Limited Liability Company Po Box 129 Red Bank NJ 07701-0129 Ph: (732) 663-1344 | Elena Mazza, Lcsw, Limited Liability Company 268 Broad St Red Bank NJ 07701-2042 Ph: (732) 663-1344 |
| NPI Number | 1841443447 |
|---|---|
| Provider Enumeration Date | 10/28/2008 |
| Last Update Date | 10/28/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841443447 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 44SC04785100 (New Jersey) | Primary |
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