| Doctor Name: | MS. KAYEANN MARGARET MASON |
| NPI Number: | 1225068703 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LICSW |
| License Number: | 12756 |
| Business Practice Address: | 625 Snelling Ave N. #5 St. Paul, MN - 55104 |
| Business Phone Number: | 6513046026 |
| Business Fax Number: | 6513046027 |
| Mailing Address: | 625 Snelling Ave N., #5 ST. PAUL |
| State: | MN |
| Postal Code: | 55104 |
| Phone Number: | 6513046026 |
| Fax Number: | 6513046027 |
| NPI Enumeration Date: | 07/03/2006 |
| NPI Last Update Date: | 10/07/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 12756 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |