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Individual

JULEEN MASON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
21 GRAND ST, HARTFORD, CT 06106-1541
(860) 550-7500
(860) 724-1379
Mailing address
21 GRAND ST, HARTFORD, CT 06106-1541
(860) 550-7500
(860) 724-1379

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
76177
CT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
005982
CT

Other

Enumeration date
12/17/2014
Last updated
06/30/2015
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