Individual
MRS. JENNIFER ANDERSON MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M S W L C S W
Contact information
Practice address
318 MONTJOY ST, FALMOUTH, KY 41040-1132
(859) 654-6988
(859) 654-3763
Mailing address
PO BOX 2680, COVINGTON, KY 41012-2680
(859) 578-3204
(859) 578-3273
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
589
KY
1041C0700X
Clinical Social Worker
589
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
610661458
TAX ID
KY
Enumeration date
08/18/2005
Last updated
03/07/2013
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