Individual
MS. KELLY JEAN MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
6 1/2 BEECH ST, EAST MILLINOCKET, ME 04430-1152
(207) 746-3520
Mailing address
6 1/2 BEECH ST, EAST MILLINOCKET, ME 04430-1152
(207) 746-3520
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
—
—
Other
Enumeration date
12/20/2010
Last updated
12/20/2010
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