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Individual
EDWARD SCOTT WHITE
Active
Individual
EDWARD SCOTT WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LISAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LISAC-15091
AZ
Other
Enumeration date
02/14/2020
Last updated
02/14/2020
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