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Individual

KAMAKAOKALANI PENNY SCOTT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPCMH, NCC, CGC

Contact information

Practice address
509 ROUTE 530, APT 374, WHITING, NJ 08759-3145
(732) 408-7035
Mailing address
509 ROUTE 530, APT 374, WHITING, NJ 08759-3145
(732) 408-7035

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC-0000089
DE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1000032331
DE
01
628014
MAMSI PROVIDER ID NUMBER
DE
01
70230
UBH PROVIDER ID NUMBER
DE
Enumeration date
06/30/2005
Last updated
09/29/2008
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