Individual
PHYLLIS ANN MASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
8230 N KY 11, GREEN ROAD, KY 40946-6505
(606) 546-9421
(606) 546-6951
Mailing address
8230 N KY 11, GREEN ROAD, KY 40946-6505
(606) 546-9421
(606) 546-6951
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/03/2008
Last updated
06/03/2008
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