Individual
MRS. RENEE A MASOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.A.
Contact information
Practice address
7074 GROVE RD, BROOKSVILLE, FL 34609-8658
(352) 540-9335
(352) 544-0722
Mailing address
7074 GROVE RD, BROOKSVILLE, FL 34609-8658
(352) 540-9335
(352) 544-0722
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
171M00000X
FL
Other
Enumeration date
11/22/2010
Last updated
11/22/2010
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