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1184403438
JACOB MAZZARELLA
NEW YORK, NY
NPI
1184403438
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 106H0000X)
Enumeration Date
2023-09-26
Last Update Date
2023-09-26
Business Address
JACOB MAZZARELLA
2139 ADAM CLAYTON POWELL JR BLVD
NEW YORK, NY 10027-3719
Phone number: 773-633-1977
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Mailing Address
JACOB MAZZARELLA
480 GREENE AVENUE 2R
NEW YORK CITY, NY 11216
Phone number: 773-633-1977
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