Individual
SHAUNAH MARIE SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1502 KNOB CREEK RD, JOHNSON CITY, TN 37604-3724
(423) 773-2174
Mailing address
1502 KNOB CREEK RD, JOHNSON CITY, TN 37604-3724
(423) 773-2174
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8565
TN
Other
Enumeration date
11/04/2024
Last updated
11/04/2024
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