Individual
TIFFANY MASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
124 JULIET ST, MARQUETTE, MI 49855-9246
(906) 362-3333
Mailing address
124 JULIET ST, MARQUETTE, MI 49855-9246
(906) 362-3333
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101003296
MI
Other
Enumeration date
12/30/2014
Last updated
12/30/2014
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