JENNELL MAZE

LOS ANGELES, CA
NPI1114090701
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  LCSW 26309)
Enumeration Date2006-11-15
Last Update Date2022-01-11
Business Address
JENNELL MAZE LCSW
11080 W OLYMPIC BLVD
LOS ANGELES, CA 90064-1937
Phone number: 310-966-6656
Mailing Address
JENNELL MAZE LCSW
31450 BROAD BEACH RD.
MALIBU, CA 90265
Phone number: 310-430-8882