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Individual

MS. DENISE SIMONE MASON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW, LCSW

Contact information

Practice address
9635 SOUTHERN PINE BLVD, SUITE 127, CHARLOTTE, NC 28273-5558
(704) 258-4330
Mailing address
9635 SOUTHERN PINE BLVD, SUITE 127, CHARLOTTE, NC 28273-5558
(704) 258-4330

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C007478
NC
1041C0700X
Clinical Social Worker
SW10498
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6007948
NC
Enumeration date
09/29/2008
Last updated
03/14/2013
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