Individual
ELLENORE SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LCSW
Contact information
Practice address
3111 W ARMITAGE AVE, CHICAGO, IL 60647-3818
(310) 490-0072
Mailing address
3111 W ARMITAGE AVE, CHICAGO, IL 60647-3818
(310) 490-0072
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
150.014673
IL
Other
Enumeration date
06/17/2014
Last updated
09/10/2018
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