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1295920296
BRIAN O. MASON
ROCKFORD, IL
NPI
1295920296
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149007751)
Enumeration Date
2007-09-12
Last Update Date
2008-10-02
Business Address
Mr. BRIAN O. MASON LCSW
8616 NORTHERN AVE
ROCKFORD, IL 61107-5309
Phone number: 815-332-6027
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Mailing Address
Mr. BRIAN O. MASON LCSW
8616 NORTHERN AVE
ROCKFORD, IL 61107-5309
Phone number: 815-332-6027
Copy
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