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Individual

MR. SCOTT EDWARD FOOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.A.

Contact information

Practice address
2353 N 9TH ST LOT A111, LARAMIE, WY 82072-1609
(805) 704-0721
Mailing address
2353 N 9TH ST LOT A111, LARAMIE, WY 82072-1609
(805) 704-0721

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
69611
WY
252Y00000X
Early Intervention Provider Agency
Primary
69611
WY
253Z00000X
In Home Supportive Care Agency
69611
WY
305R00000X
Preferred Provider Organization
69611
WY

Other

Enumeration date
07/22/2019
Last updated
07/22/2019
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