Individual
MS. CAROL LEE MASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
157 MAPLE ST., #3, JEFFERSONVILLE, VT 05464
(802) 644-6758
Mailing address
8 DUMAS RD, UNDERHILL, VT 05489-9497
(802) 373-9960
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089-0000574
VT
Other
Enumeration date
01/03/2007
Last updated
07/08/2007
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