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Individual
MASON CHRISTAIN BOANO
Active
Individual
MASON CHRISTAIN BOANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.1904354
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S.1904354
COUNSELING, SOCIAL WORK, MARRIAGE AND FAMILY THERAPIST BOARD
OH
Enumeration date
10/02/2019
Last updated
10/02/2019
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