Individual
LEILANI DIANE MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3421 HIGHWAY 21, ATMORE, AL 36502-4669
(251) 333-2777
(251) 241-7202
Mailing address
5020 HIGHWAY 164, MC DAVID, FL 32568-1917
(850) 982-3670
(251) 241-7202
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3629C
AL
Other
Enumeration date
05/17/2011
Last updated
04/01/2024
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