Individual
COLLEEN MASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
8401 DORSEY CIR STE 201, MANASSAS, VA 20110-8303
(703) 330-5155
Mailing address
9524 KIRKFIELD RD, BURKE, VA 22015-1724
(703) 220-6319
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
0903002249
VA
Other
Enumeration date
02/23/2016
Last updated
02/23/2016
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