Individual
MASON ADAM WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
514 RIVERVIEW AVE, WAUKESHA, WI 53188-3631
(860) 227-6421
Mailing address
514 RIVERVIEW AVE, WAUKESHA, WI 53188-3631
(860) 227-6421
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
5803
CT
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
04/14/2022
Last updated
04/14/2022
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