Individual
MELISSA SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 178213, CHICAGO, IL 60617-8213
(312) 609-9755
Mailing address
PO BOX 178213, CHICAGO, IL 60617-8213
(312) 609-9755
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
225XP0200X
—
Other
Enumeration date
10/22/2024
Last updated
10/22/2024
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