Individual
MS. JUANITA LYNN SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PPSS
Contact information
Practice address
9950 WINDMILL PARK DR, STOCKTON, CA 95209-4326
(209) 404-7028
Mailing address
2908 MASSACHUSETTS WAY, MODESTO, CA 95355-9721
(209) 404-7028
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
LEP4439
CA
Other
Enumeration date
07/29/2024
Last updated
07/29/2024
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