Individual
DIANE MASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6112 SAINT GILES ST, RALEIGH, NC 27612-7043
(919) 893-4465
Mailing address
6112 SAINT GILES ST, RALEIGH, NC 27612-7043
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
PO13185
NC
Other
Enumeration date
04/13/2021
Last updated
12/04/2024
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