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Organization
SCOTT COMMUNITY CARE, PLLC
Active
Organization
SCOTT COMMUNITY CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELANIE JAYNE SCOTT LSW-I (OWNER)
(208) 877-1444
Entity
Organization
Contact information
Practice address
200 S ALMON ST STE 101, MOSCOW, ID 83843-2098
(208) 877-1444
(208) 877-9004
Mailing address
PO BOX 307, DEARY, ID 83823-0307
(208) 877-1444
(208) 877-9004
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
8058915
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
805891500
—
ID
Enumeration date
03/26/2007
Last updated
09/09/2015
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