Individual
HEATHER MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7001 BLUE RIDGE BLVD, RAYTOWN, MO 64133-5629
(816) 966-0900
Mailing address
1555 NE RICE RD, LEES SUMMIT, MO 64086-5849
(816) 966-0900
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
05579
KS
104100000X
Social Worker
11119
KS
104100000X
Social Worker
Primary
2021043921
MO
Other
Enumeration date
03/20/2020
Last updated
11/17/2021
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