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Sophia Mazhou
Psychiatric/Mental Health Nurse Practitioner in Kennett, Missouri
NPI 1801657853

Sophia Mazhou is a Psychiatric/Mental Health Nurse Practitioner based in Saint Louis, MO and is specialized in Psychiatric/Mental Health. Sophia Mazhou practices in Kennett, MO. The NPI Number for Sophia Mazhou is 1801657853 and holds a License No. 209028551 (Missouri).

The current practice location address for Sophia Mazhou is 901 W Commercial St, Kennett, MO and can be reached out via phone at 870-489-8633.

Location: 901 W Commercial St, Kennett, MO, 63146-3731
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801657853
Provider Name
Sophia Mazhou
Credential
Provider Entity Type
Individual
Gender
Female
Address
901 W Commercial St, Kennett, MO, 63146-3731
Phone Number
870-489-8633
Fax Number
Provider Enumeration Date
01/17/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
901 W Commercial St
City
Kennett
State
Missouri
Zip
63857-1100
Phone Number
870-489-8633
Fax Number
person
Provider Business Mailing Address Details
Address
901 W Commercial St
City
Kennett
State
Missouri
Zip
63857-1100
Phone Number
870-489-8633
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
209028551 (Illinois)
Definition
Definition to come...
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