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Individual
KATHLEEN MICHELE MASTON
Active
Individual
KATHLEEN MICHELE MASTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
10033
LA
163WC1500X
Community Health Registered Nurse
103229
LA
171M00000X
Case Manager/Care Coordinator
Primary
10033
LA
Other
Enumeration date
05/10/2016
Last updated
01/10/2019
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