Individual
PAUL THOMAS MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
4036 W LAKEVIEW DR, FRANKLIN, WI 53132-8494
(414) 423-5968
Mailing address
4036 W LAKEVIEW DR, FRANKLIN, WI 53132-8494
(414) 423-5968
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1455-125
WI
1041C0700X
Clinical Social Worker
2820-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39638300
—
WI
Enumeration date
04/15/2008
Last updated
04/17/2008
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