Individual
MRS. CONNIE C MASON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
625 E 8400 S, SANDY, UT 84070-0525
(801) 566-2556
(801) 566-2639
Mailing address
1972 WAGSTAFF DR, SALT LAKE CITY, UT 84117-5118
(801) 272-5653
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
114014 3501
UT
Other
Enumeration date
06/09/2006
Last updated
07/08/2007
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