Individual
KATRINA MARIE MASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
EARLY CHILDHOOD
Contact information
Practice address
9906 S SANGAMON ST, CHICAGO, IL 60643-2209
(773) 750-4561
Mailing address
9906 S SANGAMON ST, CHICAGO, IL 60643-2209
(773) 750-4561
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
12/30/2008
Last updated
12/30/2008
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