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Individual

NATEEKA DAINISE SCOTT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
3060 MITCHELLVILLE ROAD, SUITE 104, BOWIE, MD 20716-3963
(301) 257-0894
Mailing address
14817 MAIDEN DRIVE, BOWIE, MD 20721
(301) 257-0894

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
LC2129
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
013619100
MD
Enumeration date
07/03/2007
Last updated
09/23/2016
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