Individual
ANNA NICOLE SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
103 MAIN ST, OLD SAYBROOK, CT 06475-2301
(860) 428-9593
Mailing address
103 MAIN ST, OLD SAYBROOK, CT 06475-2301
(860) 428-9593
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5753
CT
Other
Enumeration date
10/20/2022
Last updated
10/20/2022
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