Individual
ANTOINETTE MASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
524 W GREEN ST, SCOTTSBURG, IN 47170-1019
(214) 924-3680
Mailing address
524 W GREEN ST, SCOTTSBURG, IN 47170-1019
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33012683A
IN
Other
Enumeration date
04/14/2025
Last updated
04/17/2025
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