Individual
MS. KATHALEEN GAYLE MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA CACI, CCJP
Contact information
Practice address
520 N MAIN ST, SUITE 202, CHEBOYGAN, MI 49721-1162
(231) 627-9917
(231) 627-2531
Mailing address
8080 RIDGEVIEW DR, CHEBOYGAN, MI 49721-8942
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6802069569
MI
Other
Enumeration date
03/29/2007
Last updated
07/08/2007
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