Individual
GREGORY M MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SLP
Contact information
Practice address
5798 UNION ST, LEXINGTON, MI 48450-8835
(810) 334-1090
Mailing address
5798 UNION ST, LEXINGTON, MI 48450-8835
(810) 334-1090
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101000057
MI
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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