Individual
FLORENCE P. WRIGHT-MASON IX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
140 N ASHLAND AVE, CHICAGO, IL 60607-1802
(312) 633-4998
(312) 909-9095
Mailing address
140 N ASHLAND AVE, CHICAGO, IL 60607-1802
(312) 633-4998
(312) 909-9095
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
456
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
363682166001
—
IL
Enumeration date
09/11/2019
Last updated
09/11/2019
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