Individual
MS. THERESA KAY SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RC00058099
Contact information
Practice address
9330 59TH AVE SW, LAKEWOOD, WA 98499-2858
(253) 581-7020
(253) 581-6196
Mailing address
9330 59TH AVE SW, LAKEWOOD, WA 98499-2858
(253) 581-7020
(253) 581-6196
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/28/2007
Last updated
12/28/2007
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