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Individual
SCOTT WILLIAM BECKLEY
Active
Individual
SCOTT WILLIAM BECKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW CADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
36009
IL
104100000X
Social Worker
150.104126
IL
1041C0700X
Clinical Social Worker
Primary
149.024394
IL
Other
Enumeration date
06/24/2020
Last updated
09/03/2022
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