Individual
LESLIE JEANNE MASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
43 PLEASANT ST, WAREHAM, MA 02571-2544
(508) 295-4856
Mailing address
43 PLEASANT ST, WAREHAM, MA 02571-2544
(508) 295-4856
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
103594
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103594-SW-LCSW
MA BOARD OF REGISTRATION OF SOCIAL WORKERS
MA
Enumeration date
09/12/2018
Last updated
09/12/2018
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