Individual
AMY MARIE ROLAND SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
93 MAIN ST STE 1M, WEST SAYVILLE, NY 11796-1832
(631) 747-6652
Mailing address
39 HICKORY ST, PORT JEFFERSON STATION, NY 11776-2115
(631) 747-6652
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
079467
NY
Other
Enumeration date
09/09/2014
Last updated
05/02/2024
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