NPI 1003024597

Mary Ray Mazaka, LICSW

Practitioner Clinical Social Worker Boston, MA

Practice location

Address: 1153 Centre St 2nd Floor, Boston, MA 02130-3446
Phone: (617) 983-7233
Fax: (617) 983-7231
Mailing address: 118 E Border Rd, Malden, MA 02148-1134

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 104788 (MA)

Other Social Worker providers in Massachusetts →

Registry record

NPI: 1003024597
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 May 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.