Individual
JUDITH ANNA SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD, CDE
Contact information
Practice address
12303 DEPAUL DRIVE, BRIDGETON, MO 63044-2588
(131) 434-4728
(131) 434-4659
Mailing address
300-3 PINE LAKE ROAD, COLLINSVILLE, IL 62234
(131) 434-4728
(131) 434-4659
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2008009603
MO
Other
Enumeration date
03/30/2012
Last updated
03/30/2012
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