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1952029464
JESSICA MASON
TROY, NY
NPI
1952029464
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 38042)
Enumeration Date
2022-08-19
Last Update Date
2022-08-19
Business Address
JESSICA MASON
2435 6TH AVE
TROY, NY 12180-2227
Phone number: 518-274-5143
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Mailing Address
JESSICA MASON
79 GLENRIDGE RD
GLENVILLE, NY 12302-4528
Phone number: 518-952-8368
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