Individual
MRS. SHANNAH CLOE SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4816 CHIPPENDALE DR, FORT COLLINS, CO 80526-3816
(970) 231-9829
Mailing address
4816 CHIPPENDALE DR, FORT COLLINS, CO 80526-3816
(970) 231-9829
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
98335375
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
147225
TRADING PARTNER ID
CO
05
—
98335375
—
CO
Enumeration date
06/23/2016
Last updated
06/23/2016
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