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1114090701
JENNELL MAZE
LOS ANGELES, CA
NPI
1114090701
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCSW 26309)
Enumeration Date
2006-11-15
Last Update Date
2022-01-11
Business Address
JENNELL MAZE LCSW
11080 W OLYMPIC BLVD
LOS ANGELES, CA 90064-1937
Phone number: 310-966-6656
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Mailing Address
JENNELL MAZE LCSW
31450 BROAD BEACH RD.
MALIBU, CA 90265
Phone number: 310-430-8882
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