Most Relevant Information
Provider Data
| NPI Number: | 1003024597 |
| Provider Name: | MARY RAY MAZAKA LICSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 104788 |
Most Important Dates
| Enumeration Date: | 05/18/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
1153 CENTRE ST
2ND FLOOR
BOSTON
MA
021303446
Practice Location Phone/Fax
| Phone: | 6179837233 |
| Fax: | 6179837231 |
Provider Mailing Location
118 E BORDER RD
MALDEN
MA
021481134
Provider Mailing Phone/Fax
| Phone: | 7813245821 |
| Fax: |