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Individual

QUENTIN SCOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
252 HECTOR AVE, GRETNA, LA 70056-2548
(504) 444-6150
Mailing address
6301 KINGSTON CT, NEW ORLEANS, LA 70131-5562

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
171M00000X
Case Manager/Care Coordinator

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
008361391
LA
Enumeration date
08/13/2018
Last updated
09/17/2019
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