Individual
MS. JESSIE M SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
616 MARTIN LUTHER KING AVE, KINGSTREE, SC 29556-4104
(843) 355-6823
Mailing address
616 MARTIN LUTHER KING AVE, KINGSTREE, SC 29556-4104
(843) 355-6823
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
SC
Other
Enumeration date
08/28/2013
Last updated
08/28/2013
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