Individual
DESHELLE MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1945 WILSON AVE, CALUMET CITY, IL 60409-2972
(708) 477-2995
Mailing address
1653 W 43RD ST, CHICAGO, IL 60609-3103
(773) 826-6260
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
03/01/2019
Last updated
04/30/2019
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