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Individual

MR. SCOTT MATTHEW GALENSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PMHCNS-BC

Contact information

Practice address
1627 HENTHORNE DR, SUITE B, MAUMEE, OH 43537-1370
(419) 866-8232
Mailing address
1627 HENTHORNE DR, SUITE B, MAUMEE, OH 43537-1370
(419) 866-8232

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
COA15954-NS
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1376956292
NPI
OH
Enumeration date
06/09/2014
Last updated
02/04/2021
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