Individual
MRS. AMANDA MASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
286 BROOKVIEW DR, VALDOSTA, GA 31602-6521
(229) 249-9867
Mailing address
286 BROOKVIEW DR, VALDOSTA, GA 31602-6521
(229) 249-9867
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW004108
GA
Other
Enumeration date
05/28/2009
Last updated
05/28/2009
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