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Individual
MR. SCOTT M SMITH
Active
Individual
MR. SCOTT M SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.S.W.
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW001684E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SW001684E
BCNEPA
PA
Enumeration date
03/22/2011
Last updated
03/22/2011
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