Individual
DIANNE T MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2015 NW 39TH ST, SUITE 302, LINCOLN CITY, OR 97367-4824
(541) 557-1518
(541) 996-4004
Mailing address
PO BOX 170, LINCOLN CITY, OR 97367-0170
(541) 557-1518
(541) 996-4004
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2564
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
210628
—
OR
Enumeration date
06/09/2006
Last updated
07/08/2007
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