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1104067693
SUSAN L MAZZOLA
FITCHBURG, MA
NPI
1104067693
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2009-03-13
Last Update Date
2009-03-13
Business Address
-- SUSAN L MAZZOLA
155 AIRPORT RD
FITCHBURG, MA 01420-8142
Phone number: 978-342-6300
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Mailing Address
-- SUSAN L MAZZOLA
53 EDWARD RD
TOWNSEND, MA 01469-1107
Phone number: 978-597-2636
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