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Individual

SCOTT ROBERT FELLOWS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MSW LSW CAADC

Contact information

Practice address
5820 OLD YORK RD, PHILADELPHIA, PA 19141
(215) 276-8400
Mailing address
5820 OLD YORK RD, PHILADELPHIA, PA 19141-2506
(215) 276-8400

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW134398
PA

Other

Enumeration date
06/29/2017
Last updated
07/21/2022
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