Individual
CALVIN LEONARD SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4645 BELL ST, PORT TOWNSEND, WA 98368-1923
(360) 643-0034
(360) 208-0665
Mailing address
375 FASOLA RD APT 1, SEQUIM, WA 98382-6853
(404) 885-6318
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/09/2023
Last updated
06/09/2023
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