Individual
MS. KAYEANN MARGARET MASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
625 SNELLING AVE N., #5, ST. PAUL, MN 55104
(651) 304-6026
(651) 304-6027
Mailing address
625 SNELLING AVE N., #5, ST. PAUL, MN 55104
(651) 304-6026
(651) 304-6027
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12756
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
928175400
—
MN
Enumeration date
07/03/2006
Last updated
10/07/2009
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