Individual
SHARON MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. L.P.
Contact information
Practice address
2720 FAIRVIEW AVE N STE 100, ROSEVILLE, MN 55113-1306
(651) 241-5290
(651) 241-5140
Mailing address
2720 FAIRVIEW AVE N STE 100, ROSEVILLE, MN 55113-1306
(651) 241-5290
(651) 241-5140
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP3070
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
670715700
—
MN
Enumeration date
08/31/2006
Last updated
01/19/2022
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