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Individual

JACALYN MASON-WOODS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PRSS

Contact information

Practice address
38 ROLAND PARK DR, HUNTINGTON, WV 25705-3602
(740) 861-6004
Mailing address
802 OAK ST, KENOVA, WV 25530-1519

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary

Other

Enumeration date
07/28/2022
Last updated
07/28/2022
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