Individual
MELANIE MASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3074 W LAKE MARY BLVD STE 132, LAKE MARY, FL 32746-6749
(407) 917-0322
Mailing address
3715 N BUSINESS DR STE 202, FAYETTEVILLE, AR 72703-5288
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT3456
FL
163W00000X
Registered Nurse
9305106
FL
Other
Enumeration date
05/17/2017
Last updated
01/09/2020
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