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Individual

DARRYL MASON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LSW

Contact information

Practice address
4522 FULTON DR NW, CANTON, OH 44718-2332
(330) 915-2907
(330) 915-2958
Mailing address
4200 MUNSON ST NW STE A, CANTON, OH 44718-2981
(330) 915-2907
(330) 915-2958

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.0028581
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0227732
OH
Enumeration date
12/08/2006
Last updated
10/21/2024
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