Individual
BERNARD SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW PSYD
Contact information
Practice address
441 CENTRE STREET, JAMAICA PLAIN, MA 02130
(617) 522-8086
Mailing address
198 HIGHLAND ST, #1, ROXBURY, MA 02119
(617) 543-0655
(617) 442-5895
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1027112
MA
Other
Enumeration date
06/15/2007
Last updated
07/08/2007
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