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Individual

MARILYN C SCOTT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D

Contact information

Practice address
18505 MEADOW LN., HAZEL CREST, IL 60429
(708) 380-0253
Mailing address
P.O. BOX 1094, HOMEWOOD, IL 60430

Taxonomy

Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
103TC0700X
Clinical Psychologist
Primary
20041468A
IN
103TC2200X
Clinical Child & Adolescent Psychologist
103TS0200X
School Psychologist

Other

Enumeration date
03/04/2013
Last updated
03/04/2013
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