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1821782723
CHARLES ALLEN MASON
TITUSVILLE, FL
NPI
1821782723
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: FL MCAP100879)
Enumeration Date
2023-06-05
Last Update Date
2023-06-05
Business Address
CHARLES ALLEN MASON MA MCAP
4320 S HOPKINS AVE
TITUSVILLE, FL 32780-6610
Phone number: 352-505-2432
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Mailing Address
CHARLES ALLEN MASON MA MCAP
528 ELLIOT DR
MERRITT ISLAND, FL 32952-4016
Phone number: 321-536-2690
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