Individual
ANJELLICA SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
229 W MAIN ST STE 200, CLARKSBURG, WV 26301-2966
(304) 622-0033
Mailing address
229 W MAIN ST STE 200, CLARKSBURG, WV 26301-2966
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0
—
WV
Enumeration date
02/26/2021
Last updated
02/26/2021
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