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Individual

MR. MELVERN SCOTT JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LSW.

Contact information

Practice address
109 RAYNER RD, MOUND BAYOU, MS 38762
(662) 545-1515
Mailing address
P.O.BOX 121, 109 RAYNER RD, MOUND BAYOU, MS 38762
(662) 545-1515

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
W7939
MS
374U00000X
Home Health Aide

Other

Enumeration date
10/16/2012
Last updated
10/16/2012
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