Individual
CLARISSA-ELAINE ELIZEBETH MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
98 CARTER BRAXTON DR, SUTTON, WV 26601-9592
(304) 765-7101
Mailing address
1152 LAUREL FORK RD, DUCK, WV 25063-9150
(304) 880-6512
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-2050
WV
Other
Enumeration date
01/30/2020
Last updated
01/30/2020
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