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Individual
MR. DERRICK L MASON
Active
Individual
MR. DERRICK L MASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CDCA
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
162683
CHEMICAL DEPENDENCY PROFESSIONALS BOARD
OH
Enumeration date
03/23/2018
Last updated
01/16/2026
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