Individual
CORA SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4160 WOODWARD AVE, DETROIT, MI 48201-2027
(313) 656-4052
Mailing address
3459 GERTRUDE ST, DEARBORN, MI 48124-3760
(419) 307-2211
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6362009853
MI
Other
Enumeration date
10/16/2023
Last updated
10/16/2023
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