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Individual
TIMOTHY WADE SCOTT
Active
Individual
TIMOTHY WADE SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PC012634
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103820433
—
PA
01
—
PC012634
STATE LICENSE - PROFESSIONAL COUNSELOR
PA
Enumeration date
09/10/2020
Last updated
02/08/2023
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