Individual
MR. MAURICE ANTOINE SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3705 LATROBE DR STE 340, CHARLOTTE, NC 28211-4823
(704) 618-1004
Mailing address
2233 CLONMEL PL, CHARLOTTE, NC 28262-2502
(704) 618-1004
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
20806
NC
Other
Enumeration date
09/23/2019
Last updated
09/23/2019
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