Individual
DEBORAH MASON-MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
5009 EXCELSIOR BLVD, SUITE 136, ST LOUIS PARK, MN 55416-3041
(952) 925-5343
(952) 925-5343
Mailing address
5009 EXCELSIOR BLVD, SUITE 136, ST LOUIS PARK, MN 55416-3041
(952) 925-5343
(952) 925-5343
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
8064
MN
106H00000X
Marriage & Family Therapist
Primary
75
MN
Other
Enumeration date
03/27/2007
Last updated
09/11/2025
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