Individual
ELIZABETH LANE MASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
2109 S HIGHWAY 69, WAGONER, OK 74467-9310
(918) 708-3006
(918) 777-9016
Mailing address
28849 E 749 RD, WAGONER, OK 74467-6847
(918) 346-0417
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/20/2017
Last updated
06/20/2017
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