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Individual

ALICE MALONE SCOTT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D

Contact information

Practice address
3700 HWY 45 S, PINSON, TN 38366
(304) 476-0144
Mailing address
3700 HIGHWAY 45 SOUTH, PINSON, TN 38366
(304) 476-0144

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
00942306
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001720369
MS BCBS
WV
05
3810002108
WV
Enumeration date
11/21/2005
Last updated
08/08/2011
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