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Individual

MR. SCOTT MONROE INMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
30800 CHAGRIN BLVD, PEPPER PIKE, OH 44124-5925
(216) 591-0324
Mailing address
2860 VAN AKEN BLVD APT 211, CLEVELAND, OH 44120-2268
(216) 591-0324
(216) 591-1243

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.173261
OH
251S00000X
Community/Behavioral Health Agency
Primary
173261
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2877463
OH
Enumeration date
07/23/2021
Last updated
07/23/2021
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