Individual
KEVIN SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
792 S MAIN ST, MANSFIELD, MA 02048-3137
(857) 234-2853
Mailing address
792 S MAIN ST STE 200, MANSFIELD, MA 02048-3137
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/24/2017
Last updated
10/24/2017
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