Individual
STACY W. MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
513 MANATEE AVE E, BRADENTON, FL 34208-1145
(800) 457-4573
(800) 443-6422
Mailing address
15544 W COLONIAL DR, WINTER GARDEN, FL 34787-9556
(352) 504-0340
(800) 443-6422
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
LMFT40366
CA
106H00000X
Marriage & Family Therapist
Primary
MT4834
FL
Other
Enumeration date
02/23/2007
Last updated
09/10/2024
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