Individual
MS. WENDY ANN MASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-R
Contact information
Practice address
24 WALDEN GLN, BALLSTON LAKE, NY 12019-9234
(518) 899-1585
Mailing address
24 WALDEN GLN, BALLSTON LAKE, NY 12019-9234
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
75334
NY
Other
Enumeration date
12/13/2011
Last updated
12/13/2011
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