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Individual
SCOTT D OUELLETTE
Active
Individual
SCOTT D OUELLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA LSWA
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4029784
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1312677
—
MA
01
—
685661
TUFTS
MA
01
—
M18708
BC
MA
Enumeration date
10/21/2006
Last updated
07/08/2007
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