Individual
MR. SCOTT ALAN MACKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
18614 JACKSON STREET, HERMITAGE, MO 65668-0125
(417) 745-2121
(417) 745-0056
Mailing address
PO BOX 125, HERMITAGE, MO 65668-0125
(417) 745-2121
(417) 745-0056
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2018036325
MO
Other
Enumeration date
10/19/2018
Last updated
10/19/2018
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