Individual
TEDRA WATKINS SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2495 SHREVEPORT HWY # 71, PINEVILLE, LA 71360-4044
(318) 473-0010
Mailing address
4735 OLD MARKSVILLE HWY, PINEVILLE, LA 71360-9056
(318) 613-1584
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
12334
LA
Other
Enumeration date
05/13/2018
Last updated
05/13/2018
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