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1245868769
MICHAEL MAZZELLA
SAN LUIS OBISPO, CA
NPI
1245868769
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 107758)
Enumeration Date
2020-03-30
Last Update Date
2020-03-30
Business Address
MICHAEL MAZZELLA MS
1190 MARSH ST STE E
SAN LUIS OBISPO, CA 93401-3332
Phone number: 805-295-8668
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Mailing Address
MICHAEL MAZZELLA MS
687 ISLAY ST APT 3
SAN LUIS OBISPO, CA 93401-4383
Phone number: 562-619-3892
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