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Individual

MRS. ELIZABETH ANN MASON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
2214 N ATHERTON ST, SUITE 4, STATE COLLEGE, PA 16803-1544
(814) 237-0567
Mailing address
2214 NORTH ATHERTON STREET, SUITE 4, STATE COLLEGE, PA 16803
(814) 237-0567

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW129169
PA

Other

Enumeration date
12/28/2011
Last updated
12/28/2011
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