Individual
MS. DEBRA A SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
9 BELMONT ST, BFCR, BROCKTON, MA 02301-5225
(508) 583-6498
(508) 583-3775
Mailing address
9 BELMONT ST, BFCR, BROCKTON, MA 02301-5225
(508) 583-6498
(508) 583-3775
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1030391
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1030391
LICSW
MA
Enumeration date
02/21/2007
Last updated
07/08/2007
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