Individual
SAM MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
310 N HOSPITAL DR, PAOLA, KS 66071-1304
(913) 294-9175
(913) 294-9175
Mailing address
310 N HOSPITAL DR, PAOLA, KS 66071-1304
(913) 294-9175
(913) 294-9175
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
101YP1600X
KS
Other
Enumeration date
02/17/2014
Last updated
02/17/2014
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